Soo, Michael Landron

Soo, Michael Landron is an sole proprietor health care provider with primary practice located at 2609 N Duke St Suite 604, Durham NC 27704-3048. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Soo, Michael Landron can be contacted via phone (919) 220-1881.

Contact Information

Primary practice address
2609 N Duke St Suite 604 Durham NC 27704-3048
Fax: (919) 220-1991
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 34166 North Carolina

Profile Details

NPI number 1710978259
LBN Legal business name Soo, Michael Landron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Nov 19th, 2009 - about 15 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 1710978259 NPPES
North Carolina Other 0239F BCBS
North Carolina Other 130022134 BCBS
North Carolina Other 562160642 BCBS
North Carolina MEDICAID 8978444 BCBS

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