Landry, Glenn R
Landry, Glenn R is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite 313N, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Landry, Glenn R can be contacted via phone (504) 371-0071.Contact Information
Primary practice address
1111 Medical Center Blvd Suite 313N
Marrero LA 70072-3151
Phone: (504) 371-0071
Fax: (507) 371-0272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 011421 | Louisiana |
Profile Details
| NPI number | 1609874205 |
|---|---|
| LBN Legal business name | Landry, Glenn R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 9th, 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 | 1609874205 | NPPES |
| Louisiana | Other | 4367671004 | CIGNA |
| Louisiana | Other | 1900174 | CIGNA |
| Louisiana | MEDICAID | 1151378 | CIGNA |
| Louisiana | Other | 1021299 | CIGNA |
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