Carter-Blanks, Latisha Nicole

Carter-Blanks, Latisha Nicole is an individual health care provider with primary practice located at 39901 Traditions Dr Suite 240, Northville MI 48168-9493. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carter-Blanks, Latisha Nicole can be contacted via phone (248) 888-9000.

Contact Information

Primary practice address
39901 Traditions Dr Suite 240 Northville MI 48168-9493
Phone: (248) 888-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301079976 Michigan

Profile Details

NPI number 1700923810
LBN Legal business name Carter-Blanks, Latisha Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 3rd, 2014 - 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 1700923810 NPPES
Michigan MEDICAID 1700923810

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