Landrum, Benjamin M

Landrum, Benjamin M is an individual health care provider with primary practice located at 2850 N Ridge Rd 102, Ellicott City MD 21043-3464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Landrum, Benjamin M can be contacted via phone (410) 418-8550.

Contact Information

Primary practice address
2850 N Ridge Rd 102 Ellicott City MD 21043-3464
Phone: (410) 418-8550
Fax: (410) 418-8552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X D0057970 Maryland

Profile Details

NPI number 1124131149
LBN Legal business name Landrum, Benjamin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jun 16th, 2016 - about 9 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 1124131149 NPPES
Maryland MEDICAID 402077400
Maryland Other DA5812
Maryland Other KES7IN
Maryland Other G972

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