Self, Landon

Self, Landon is an individual health care provider with primary practice located at 58 Timber Creek Dr , Cordova TN 38018-4233. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Self, Landon can be contacted via phone (901) 566-1002.

Contact Information

Primary practice address
58 Timber Creek Dr Cordova TN 38018-4233
Fax: (901) 566-1951
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3058 Tennessee

Profile Details

NPI number 1598144636
LBN Legal business name Self, Landon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2015
Last updated May 21st, 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.

Request for update

Popular Providers