Pryor, Landon S

Pryor, Landon S is an individual health care provider with primary practice located at 5995 Spring Creek Rd , Rockford IL 61114-6481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Pryor, Landon S can be contacted via phone (815) 977-4403.

Contact Information

Primary practice address
5995 Spring Creek Rd Rockford IL 61114-6481
Phone: (815) 977-4403
Fax: (815) 977-5796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A99159 California
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036124349 Illinois

Profile Details

NPI number 1831306968
LBN Legal business name Pryor, Landon S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jun 26th, 2019 - 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 1831306968 NPPES
Illinois MEDICAID 036124349
Illinois Other 10132215

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