Landry, Charles Gerard

Landry, Charles Gerard is an individual health care provider with primary practice located at 871 Court St , Auburn ME 04210-3903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Landry, Charles Gerard can be contacted via phone (207) 241-0401.

Contact Information

Primary practice address
871 Court St Auburn ME 04210-3903
Phone: (207) 241-0401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X ME 1773 Maine

Profile Details

NPI number 1063418945
LBN Legal business name Landry, Charles Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 15th, 2019 - about 5 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 1063418945 NPPES
Maine Other 022791 ANTHEM BCBS
Maine Other 3461045 ANTHEM BCBS
Maine MEDICAID 408470099 ANTHEM BCBS

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