Landzberg, Michael Job
Landzberg, Michael Job is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Landzberg, Michael Job can be contacted via phone (617) 355-2793.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 71141 | Massachusetts |
Profile Details
| NPI number | 1124019864 |
|---|---|
| LBN Legal business name | Landzberg, Michael Job |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124019864 | NPPES |
| Massachusetts | MEDICAID | 3085325 |
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