Lattanzio, Anthony S

Lattanzio, Anthony S is an sole proprietor health care provider with primary practice located at 20 Ohltown Rd Suite 2F, Youngstown OH 44515-2331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lattanzio, Anthony S can be contacted via phone (330) 884-1583.

Contact Information

Primary practice address
20 Ohltown Rd Suite 2F Youngstown OH 44515-2331
Fax: (330) 884-1588
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34006587 Ohio

Profile Details

NPI number 1184611287
LBN Legal business name Lattanzio, Anthony S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated May 31st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184611287 NPPES
Ohio MEDICAID 2020164

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