Latack, Wayne Arthur

Latack, Wayne Arthur is an individual health care provider with primary practice located at 301 Fisher St Keesler Afb, Biloxi MS 39534-2508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Latack, Wayne Arthur can be contacted via phone (228) 376-3372.

Contact Information

Primary practice address
301 Fisher St Keesler Afb Biloxi MS 39534-2508
Phone: (228) 376-3372
Fax: (228) 376-0125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 21859 Mississippi
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 21859 Mississippi

Profile Details

NPI number 1629288089
LBN Legal business name Latack, Wayne Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Oct 12th, 2023 - about 3 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 1629288089 NPPES
Mississippi Other 21859 MEDICAL LICENSURE

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