Landenburger, Drew

Landenburger, Drew is an sole proprietor health care provider with primary practice located at 9686 Carpers Pike , Yellow Spring WV 26865-9032. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as his primary health care specialty. Landenburger, Drew can be contacted via phone (301) 785-7113.

Contact Information

Primary practice address
9686 Carpers Pike Yellow Spring WV 26865-9032
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DX4629 Maryland

Profile Details

NPI number 1760946578
LBN Legal business name Landenburger, Drew
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2019
Last updated Jan 25th, 2019 - about 6 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 1760946578 NPPES
Maryland Other DX4629 MARYLAND LICENSE #
Maryland Other DX4629 MARYLAND LICENSE #

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