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Contact Information

LATISHA A SMITH CHASE, M.D.
400 DOCTORS CT
JOHNSON CREEK, WI53038-9567
 Phone: 920-699-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LATISHA A SMITH CHASE · (Female)

NPI Number 1154349900
Status Active
Credentials M.D.
Entity Individual
Enumeration date 07/18/2006
Last updated 05/18/2026 - About 3 weeks ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 73794-20
Hospital affiliation(s)
  • FORT HEALTHCARE - (Acute Care)
    611 SHERMAN AVE E
    FORT ATKINSON, WI 53538
  • UW HEALTH PARTNERS - WATERTOWN REGIONAL MEDICAL CTR - (Acute Care)
    125 HOSPITAL DRIVE
    WATERTOWN, WI 53098
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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