Smith-Chase, Latisha A

Smith-Chase, Latisha A is an sole proprietor health care provider with primary practice located at 400 Doctors Ct , Johnson Creek WI 53038-9567. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Smith-Chase, Latisha A can be contacted via phone (920) 699-4000.

Contact Information

Primary practice address
400 Doctors Ct Johnson Creek WI 53038-9567
Phone: (920) 699-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G57131 California
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X G57131 California
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 73794-20 Wisconsin

Profile Details

NPI number 1154349900
LBN Legal business name Smith-Chase, Latisha A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Oct 7th, 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.

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