Landry, Patricia A
Landry, Patricia A is an individual health care provider with primary practice located at 309 E 1St Ave , Easley SC 29640-3040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Landry, Patricia A can be contacted via phone (864) 859-6331.Contact Information
Primary practice address
309 E 1St Ave
Easley SC 29640-3040
Phone: (864) 859-6331
Fax: (864) 855-1045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16015 | South Carolina |
Profile Details
| NPI number | 1487608287 |
|---|---|
| LBN Legal business name | Landry, Patricia A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 27th, 2013 - about 12 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 | 1487608287 | NPPES |
| South Carolina | Other | 582296052-528 | BLUE CROSS |
| South Carolina | MEDICAID | 160159 | BLUE CROSS |
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