Latzer, Itay Tokatly
Latzer, Itay Tokatly is an sole proprietor health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has only one registered license in Hospitals / Children, which is considered as his primary health care specialty. Latzer, Itay Tokatly can be contacted via phone (617) 735-6000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Children | 282NC2000X | 292352 | Massachusetts |
Profile Details
| NPI number | 1750015640 |
|---|---|
| LBN Legal business name | Latzer, Itay Tokatly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2022 |
| Last updated | Aug 3rd, 2022 - about 2 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 | 1750015640 | NPPES |
| Massachusetts | Other | MTN961241126 | BLUE CROSS BLUE SHIELD (BCBS) |
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