Latisha Nicole Carter-blanks
M.D. | Pediatrics | Female
Latisha Nicole Carter-blanks, M.D. is a Northville, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Latisha Nicole Carter-blanks is
39901 Traditions Dr, Suite 240, Northville, Michigan - 48168-9493. She can be contacted on phone at
248-888-9000.
Latisha Nicole Carter-blanks is a sole proprietor of her business.
NPI number (Unique professional ID) for Latisha Nicole Carter-blanks is
1700923810 which was assigned by NPPES on 30 Jan, 2007 and it was last updated on 03 Dec, 2014.
Latisha Nicole Carter-blanks license number is
4301079976 for Pediatrics (208000000X) in Michigan.
Latisha Nicole Carter-blanks is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Latisha Nicole Carter-blanks basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Latisha Nicole Carter-blanks |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Latisha Nicole Carter-blanks address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 39901 Traditions Dr, Suite 240
Northville, MI, 48168-9493
United States |
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| Phone Number : | 248-888-9000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700923810 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jan, 2007 |
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| Last Updated On : | 03 Dec, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Latisha Nicole Carter-blanks are as mentioned. Primary taxonomy code for Latisha Nicole Carter-blanks, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301079976 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Latisha Nicole Carter-blanks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1700923810 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3621 S State St, 700 Kms Place
Ann Arbor, MI, 48108
United States |
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| Phone Number : | 734-936-2047 |
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Business Location:
Patients can refer following map for directions to
Latisha Nicole Carter-blanks practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.