Landis, Andrew Jay

Landis, Andrew Jay is an sole proprietor health care provider with primary practice located at 4136 E Joppa Rd Suite L, Nottingham MD 21236-2286. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Landis, Andrew Jay can be contacted via phone (410) 256-1188.

Contact Information

Primary practice address
4136 E Joppa Rd Suite L Nottingham MD 21236-2286
Phone: (410) 256-1188
Fax: (410) 256-1188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00890 Maryland

Profile Details

NPI number 1710928973
LBN Legal business name Landis, Andrew Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710928973 NPPES
Maryland MEDICAID 37024811 00
Maryland Other 39842201
Maryland Other R5690001

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