Individual
DR. WILLIAM HOWARD LATHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
910 KATHERINE AVE, SUITE C, ASHLAND, OH 44805-3692
(419) 281-7941
(419) 289-1534
Mailing address
910 KATHERINE AVE, SUITE C, ASHLAND, OH 44805-3692
(419) 281-7941
(419) 289-1534
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36.002437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0625774
PTAN
OH
05
—
0742496
—
OH
01
—
0906550001
MEDICARE NCS
OH
01
—
480013191
RAILROAD MEDICARE #
OH
Enumeration date
03/20/2006
Last updated
08/03/2012
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