Individual
PAUL E. LATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 436-2416
(260) 436-9662
Mailing address
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 436-2416
(260) 436-9662
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01040003A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0873890
—
OH
05
—
100319610
—
IN
01
—
130006860
RR MEDICARE
IN
05
—
3035350
—
MI
Enumeration date
06/30/2005
Last updated
12/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us