Landry, Shelley M
Landry, Shelley M is an individual health care provider with primary practice located at 789 Central Ave , Dover NH 03820-2526. 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, Shelley M can be contacted via phone (603) 609-6819.Contact Information
Primary practice address
789 Central Ave
Dover NH 03820-2526
Phone: (603) 609-6819
Fax: (603) 609-6821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0539 | New Hampshire |
Profile Details
| NPI number | 1073590428 |
|---|---|
| LBN Legal business name | Landry, Shelley M |
| Credentials | M PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jan 30th, 2020 - about 4 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 | 1073590428 | NPPES |
| New Hampshire | MEDICAID | 3071730 |
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