Landry, Brant

Landry, Brant is an sole proprietor health care provider with primary practice located at 1705 Wales Ln , Bossier City LA 71111-5143. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Landry, Brant can be contacted via phone (318) 655-1341.

Contact Information

Primary practice address
1705 Wales Ln Bossier City LA 71111-5143
Phone: (318) 655-1341
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 06617 Louisiana

Profile Details

NPI number 1396078671
LBN Legal business name Landry, Brant
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2009
Last updated Sep 17th, 2009 - about 16 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 1396078671 NPPES
Louisiana MEDICAID 2251P0200X

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