Landry, Paul B

Landry, Paul B is an individual health care provider with primary practice located at 310 N State Of Franklin Rd Suite 101, Johnson City TN 37604-6008. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Landry, Paul B can be contacted via phone (423) 929-7393.

Contact Information

Primary practice address
310 N State Of Franklin Rd Suite 101 Johnson City TN 37604-6008
Phone: (423) 929-7393
Fax: (423) 929-0872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1603 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1603 Tennessee

Profile Details

NPI number 1477599892
LBN Legal business name Landry, Paul B
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 15th, 2017 - about 7 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 1477599892 NPPES
Virginia MEDICAID 1477599892
Virginia MEDICAID 1506078
Virginia Other TN01 UW
Virginia Other 4190518
Virginia MEDICAID 7100095460
Virginia Other P00686005

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