Crockett, Landis
Crockett, Landis is an sole proprietor health care provider with primary practice located at 2964 Lakeview Point Rd , Quincy FL 32351-0493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Crockett, Landis can be contacted via phone (850) 627-2729.Contact Information
Primary practice address
2964 Lakeview Point Rd
Quincy FL 32351-0493
Phone: (850) 627-2729
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | ME37607 | Florida |
Profile Details
| NPI number | 1134374150 |
|---|---|
| LBN Legal business name | Crockett, Landis |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2008 |
| Last updated | Nov 18th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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