Latimer, Gary L

Latimer, Gary L is an sole proprietor health care provider with primary practice located at 267 Brooklyn St Suite A, Carbondale PA 18407-2836. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Latimer, Gary L can be contacted via phone (570) 282-1240.

Contact Information

Primary practice address
267 Brooklyn St Suite A Carbondale PA 18407-2836
Fax: (570) 282-7937
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC004100L Pennsylvania

Profile Details

NPI number 1487725115
LBN Legal business name Latimer, Gary L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Aug 28th, 2012 - about 10 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 1487725115 NPPES
Pennsylvania Other 590360 BLUE SHIELD ID #
Pennsylvania Other 2322827930 BLUE SHIELD ID #

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