Landa, Elizabeth

Landa, Elizabeth is an individual health care provider with primary practice located at 20952 E 12 Mile Rd Ste 110 , Saint Clair Shores MI 48081-3202. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Landa, Elizabeth can be contacted via phone (313) 432-3348.

Contact Information

Primary practice address
20952 E 12 Mile Rd Ste 110 Saint Clair Shores MI 48081-3202
Phone: (313) 432-3348
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X L826559 Michigan

Profile Details

NPI number 1407227689
LBN Legal business name Landa, Elizabeth
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2015
Last updated Jul 21st, 2022 - about 3 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 1407227689 NPPES
Michigan Other 2601001454 STATE OF MICHIGAN

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