Landon, Richard Charles
Landon, Richard Charles is an individual health care provider with primary practice located at 1812 Marsh Rd Store 505, Wilmington DE 19810-4581. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Landon, Richard Charles can be contacted via phone (302) 475-7500.Contact Information
Primary practice address
1812 Marsh Rd Store 505
Wilmington DE 19810-4581
Phone: (302) 475-7500
Fax: (302) 475-5787
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT015816 | Pennsylvania |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | J1-0002838 | Delaware |
Profile Details
NPI number | 1598750176 |
---|---|
LBN Legal business name | Landon, Richard Charles |
Credentials | MSPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Nov 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598750176 | NPPES |
Pennsylvania | Other | LA1413014 | BCBS |
Pennsylvania | Other | P01089025 | BCBS |
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