Landes, Steven Douglas

Landes, Steven Douglas is an individual health care provider with primary practice located at 2267 Bangs Ave , Modesto CA 95356-8701. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Landes, Steven Douglas can be contacted via phone (209) 545-9983.

Contact Information

Primary practice address
2267 Bangs Ave Modesto CA 95356-8701
Phone: (209) 545-9983
Fax: (209) 543-0923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X RHT 42681 California

Profile Details

NPI number 1316978679
LBN Legal business name Landes, Steven Douglas
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 18th, 2008 - about 17 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 1316978679 NPPES
California Other BBB80277B EDI #
California MEDICAID XR010013F EDI #

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