Provider Demographics
NPI:1558390864
Name:LATONA, JOSEPH A (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:LATONA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1327
Mailing Address - Country:US
Mailing Address - Phone:614-876-5595
Mailing Address - Fax:614-921-9263
Practice Address - Street 1:3600 MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1327
Practice Address - Country:US
Practice Address - Phone:614-876-5595
Practice Address - Fax:614-921-9263
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC.3067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
X74236Medicare UPIN