Summerville, Latia Rachelle

Summerville, Latia Rachelle is an individual health care provider with primary practice located at 721 E Court St , Paris IL 61944-2460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Summerville, Latia Rachelle can be contacted via phone (217) 465-4141.

Contact Information

Primary practice address
721 E Court St Paris IL 61944-2460
Phone: (217) 465-4141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209025042 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F08210851 Illinois

Profile Details

NPI number 1710630157
LBN Legal business name Summerville, Latia Rachelle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2022
Last updated Mar 11th, 2024 - about 9 months 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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