Latypova, Kateryna
Latypova, Kateryna is an sole proprietor health care provider with primary practice located at 160 Benmont Ave Suite 21, Bennington VT 05201. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Latypova, Kateryna can be contacted via phone (802) 447-3199.Contact Information
Primary practice address
160 Benmont Ave Suite 21
Bennington VT 05201
Phone: (802) 447-3199
Fax: (802) 447-3123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 20675 | Massachusetts |
| Dental Providers / Periodontics | 1223P0300X | 2284 | Vermont |
Profile Details
| NPI number | 1447267083 |
|---|---|
| LBN Legal business name | Latypova, Kateryna |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Aug 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447267083 | NPPES |
| Massachusetts | MEDICAID | 0203041 |
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