Provider Demographics
NPI:1366775272
Name:WILLIAM E. LATTER D.C.,P.C.
Entity type:Organization
Organization Name:WILLIAM E. LATTER D.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LATTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-875-9355
Mailing Address - Street 1:2439 S KIHEI RD
Mailing Address - Street 2:STE 202 B
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-7283
Mailing Address - Country:US
Mailing Address - Phone:808-875-9355
Mailing Address - Fax:808-874-5599
Practice Address - Street 1:2439 S KIHEI RD
Practice Address - Street 2:STE 202 B
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-7283
Practice Address - Country:US
Practice Address - Phone:808-875-9355
Practice Address - Fax:808-874-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI744111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH51519Medicare PIN