Landry, Jennifer A.

Landry, Jennifer A. is an individual health care provider with primary practice located at 84 Marginal Way Suite 700, Portland ME 04101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Landry, Jennifer A. can be contacted via phone (207) 774-5816.

Contact Information

Primary practice address
84 Marginal Way Suite 700 Portland ME 04101
Phone: (207) 774-5816
Fax: (207) 523-8597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA177 Maine

Profile Details

NPI number 1790740835
LBN Legal business name Landry, Jennifer A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 9th, 2013 - about 11 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 1790740835 NPPES
Maine MEDICAID 284210099

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