Land, John Joseph

Land, John Joseph is an individual health care provider with primary practice located at 1107 Broadrick Dr , Dalton GA 30720-2592. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Land, John Joseph can be contacted via phone (706) 278-5558.

Contact Information

Primary practice address
1107 Broadrick Dr Dalton GA 30720-2592
Phone: (706) 278-5558
Fax: (706) 278-6334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM0000000417 Tennessee
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000679 Georgia

Profile Details

NPI number 1568548220
LBN Legal business name Land, John Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Feb 27th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568548220 NPPES
Other 1440694 UMWA
Other 52432145 UMWA
MEDICAID 000828385A UMWA
Other 3124909 UMWA

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