Latorre, Fabian Enrique

Latorre, Fabian Enrique is an sole proprietor health care provider with primary practice located at 1125 N College Ave , Fayetteville AR 72703-1908. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Latorre, Fabian Enrique can be contacted via phone (479) 521-8260.

Contact Information

Primary practice address
1125 N College Ave Fayetteville AR 72703-1908
Phone: (479) 521-8260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD61542367 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME156624 Florida

Profile Details

NPI number 1265782601
LBN Legal business name Latorre, Fabian Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2012
Last updated Jun 3rd, 2025 - about last year

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 1265782601 NPPES
Texas MEDICAID 080579802

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