Landry, Antonio B.

Landry, Antonio B. is an individual health care provider with primary practice located at 33 Mollison Way , Lewiston ME 04240-5805. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Landry, Antonio B. can be contacted via phone (207) 784-5782.

Contact Information

Primary practice address
33 Mollison Way Lewiston ME 04240-5805
Phone: (207) 784-5782
Fax: (207) 786-5756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-809 Maine

Profile Details

NPI number 1881657096
LBN Legal business name Landry, Antonio B.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jan 23rd, 2024 - about last year

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 1881657096 NPPES
Maine MEDICAID 267680099

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