Landherr, Keith Scott

Landherr, Keith Scott is an sole proprietor health care provider with primary practice located at 2400 Johnson Ave #1-C, Bronx NY 10463-6464. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Landherr, Keith Scott can be contacted via phone (718) 601-3629.

Contact Information

Primary practice address
2400 Johnson Ave #1-C Bronx NY 10463-6464
Phone: (718) 601-3629
Fax: (718) 601-3629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 05789 New York

Profile Details

NPI number 1689828139
LBN Legal business name Landherr, Keith Scott
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2008
Last updated Nov 11th, 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 1689828139 NPPES
New York Other 05789 NYS LICENSE# 5789

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