Latour, Tido A

Latour, Tido A is an individual health care provider with primary practice located at 1009 Novus Dr Ste 2 , Johnson City TN 37604-8237. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Latour, Tido A can be contacted via phone (423) 283-0776.

Contact Information

Primary practice address
1009 Novus Dr Ste 2 Johnson City TN 37604-8237
Phone: (423) 283-0776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 27158 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 10345 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN127822 Tennessee

Profile Details

NPI number 1457348773
LBN Legal business name Latour, Tido A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 17th, 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 1457348773 NPPES
Tennessee Other 39792 TLC
Tennessee Other 413868097 TLC
Tennessee Other 4142848 TLC
Tennessee Other P00391672 TLC
Tennessee Other 205315 TLC

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