Landherr, Keith Scott
Landherr, Keith Scott is an sole proprietor health care provider with primary practice located at 2400 Johnson Ave #1-C, Bronx NY 10463-6464. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Landherr, Keith Scott can be contacted via phone (718) 601-3629.Contact Information
Primary practice address
2400 Johnson Ave #1-C
Bronx NY 10463-6464
Phone: (718) 601-3629
Fax: (718) 601-3629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 05789 | New York |
Profile Details
| NPI number | 1689828139 |
|---|---|
| LBN Legal business name | Landherr, Keith Scott |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2008 |
| Last updated | Nov 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689828139 | NPPES |
| New York | Other | 05789 | NYS LICENSE# 5789 |
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