Landrum, Harry J.
Landrum, Harry J. is an sole proprietor health care provider with primary practice located at 10 Baker Blvd , Mullica Hill NJ 08062-1504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Landrum, Harry J. can be contacted via phone (856) 223-9100.Contact Information
Primary practice address
10 Baker Blvd
Mullica Hill NJ 08062-1504
Phone: (856) 223-9100
Fax: (856) 223-1626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27TO00052500 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00448000 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG0011641 | Pennsylvania |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OA4480 | Pennsylvania |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TO00525 | Pennsylvania |
Profile Details
| NPI number | 1285718387 |
|---|---|
| LBN Legal business name | Landrum, Harry J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285718387 | NPPES |
| New Jersey | Other | 2014109 | AETNA |
| New Jersey | Other | 802547 | AETNA |
| New Jersey | Other | 232334180 | AETNA |
| New Jersey | Other | AMERHEALTH PPO | AETNA |
| New Jersey | MEDICAID | 6091601 | AETNA |
| New Jersey | Other | 401703 | AETNA |
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