Landes, Steven Douglas
Landes, Steven Douglas is an individual health care provider with primary practice located at 2267 Bangs Ave , Modesto CA 95356-8701. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Landes, Steven Douglas can be contacted via phone (209) 545-9983.Contact Information
Primary practice address
2267 Bangs Ave
Modesto CA 95356-8701
Phone: (209) 545-9983
Fax: (209) 543-0923
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | RHT 42681 | California |
Profile Details
NPI number | 1316978679 |
---|---|
LBN Legal business name | Landes, Steven Douglas |
Credentials | Radiologic Technologist (RT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Apr 18th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316978679 | NPPES |
California | Other | BBB80277B | EDI # |
California | MEDICAID | XR010013F | EDI # |
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