Landon, Edwin Dale

Landon, Edwin Dale is an individual health care provider with primary practice located at 428 Bridge St Nw , Grand Rapids MI 49504-5322. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Landon, Edwin Dale can be contacted via phone (616) 451-4284.

Contact Information

Primary practice address
428 Bridge St Nw Grand Rapids MI 49504-5322
Phone: (616) 451-4284
Fax: (616) 451-4811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 55020002800 Michigan

Profile Details

NPI number 1437407764
LBN Legal business name Landon, Edwin Dale
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2012
Last updated Aug 16th, 2012 - about 13 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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