Landvoigt, Maple T.

Landvoigt, Maple T. is an individual health care provider with primary practice located at 1464 Jefferson St N , Lewisburg WV 24901-1380. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Landvoigt, Maple T. can be contacted via phone (304) 645-3220.

Contact Information

Primary practice address
1464 Jefferson St N Lewisburg WV 24901-1380
Fax: (844) 479-4545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22154 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22154 West Virginia
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 22154 West Virginia

Profile Details

NPI number 1982833760
LBN Legal business name Landvoigt, Maple T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2009
Last updated Apr 3rd, 2020 - about 5 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 1982833760 NPPES
West Virginia MEDICAID 3810015441

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