Mr Nathan Latta, CPRC is a
Peer Specialist based in Detroit, Michigan. Mr Nathan Latta is licensed to practice in Michigan (license number ) and his current practice location is
2081 W Grand Blvd, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 895-0500.
NPI number for Mr Nathan Latta is 1033776745 and his current mailing address is 707 W Milwaukee St, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033776745.
Healthcare Provider's Profile
Full Name | Mr Nathan Latta |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 2081 W Grand Blvd, Detroit, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033776745
- Provider Enumeration Date: 05/29/2019
- Last Update Date: 06/15/2023
Medical Identifiers
Medical identifiers for Mr Nathan Latta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033776745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | M-00262 (Michigan) | Secondary |
175T00000X | Peer Specialist | (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Nathan Latta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Nathan Latta, CPRC 707 W Milwaukee St, Detroit, MI 48202-2943 Ph: (313) 344-9099 | Mr Nathan Latta, CPRC 2081 W Grand Blvd, Detroit, MI 48208-1105 Ph: (313) 895-0500 |
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