Landsgaard, Henry Ray
Landsgaard, Henry Ray is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Landsgaard, Henry Ray can be contacted via phone (970) 495-7000.Contact Information
Primary practice address
1024 S Lemay Ave
Fort Collins CO 80524-3929
Phone: (970) 495-7000
Fax: (303) 306-7753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5101011929 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DR.0055268 | Colorado |
Profile Details
| NPI number | 1902889967 |
|---|---|
| LBN Legal business name | Landsgaard, Henry Ray |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jun 29th, 2015 - about 9 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 | 1902889967 | NPPES |
| Michigan | MEDICAID | 3332953 | |
| Michigan | Other | P00065018 | |
| Michigan | MEDICAID | 3339927 | |
| Michigan | MEDICAID | 95937072 | |
| Michigan | MEDICAID | 3417756 | |
| Michigan | Other | HL011929 |
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