Landreneau, James Rodney

Landreneau, James Rodney is an individual health care provider with primary practice located at 3215 Wingate Ct Ste 102 , Columbia MO 65201-7689. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Landreneau, James Rodney can be contacted via phone (573) 884-3937.

Contact Information

Primary practice address
3215 Wingate Ct Ste 102 Columbia MO 65201-7689
Phone: (573) 884-3937
Fax: (573) 884-4868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2022019738 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 85613 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1396276135
LBN Legal business name Landreneau, James Rodney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2017
Last updated Jul 6th, 2022 - about 2 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 1396276135 NPPES
Missouri MEDICAID 200064204

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