Landes, Fred S

Landes, Fred S is an individual health care provider with primary practice located at 3015 3Rd Ave Se , Aberdeen SD 57401-5418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Landes, Fred S can be contacted via phone (605) 725-1700.

Contact Information

Primary practice address
3015 3Rd Ave Se Aberdeen SD 57401-5418
Phone: (605) 725-1700
Fax: (605) 725-1761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4290 South Dakota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 12144 North Dakota

Profile Details

NPI number 1083689236
LBN Legal business name Landes, Fred S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated May 1st, 2014 - about 12 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 1083689236 NPPES
Other 050071558 RR MEDICARE
MEDICAID 10367 RR MEDICARE

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