Landry, Blake C.

Landry, Blake C. is an sole proprietor health care provider with primary practice located at 2365 Gause Blvd E Ste E , Slidell LA 70461-4142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Landry, Blake C. can be contacted via phone (985) 643-1194.

Contact Information

Primary practice address
2365 Gause Blvd E Ste E Slidell LA 70461-4142
Phone: (985) 643-1194
Fax: (985) 643-8869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 022661 Louisiana
Other Service Providers / Specialist 174400000X 022661 Louisiana

Profile Details

NPI number 1417953597
LBN Legal business name Landry, Blake C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Apr 1st, 2024 - about 7 months 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 1417953597 NPPES
Louisiana Other 720847461 0009 CIGNA
Louisiana Other 153236130118 CIGNA
Louisiana Other 0005507718 CIGNA
Louisiana MEDICAID 1494895 CIGNA

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