Landis, Jeffrey L

Landis, Jeffrey L is an individual health care provider with primary practice located at 59 E Weaver Ave , Harrisonburg VA 22801-3047. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Landis, Jeffrey L can be contacted via phone (540) 434-6354.

Contact Information

Primary practice address
59 E Weaver Ave Harrisonburg VA 22801-3047
Phone: (540) 434-6354
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904001685 Virginia

Profile Details

NPI number 1568549426
LBN Legal business name Landis, Jeffrey L
Credentials L.C.S.W., D.C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Feb 13th, 2016 - about 10 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 1568549426 NPPES
Virginia MEDICAID 1891871711
Virginia Other DD4151
Virginia Other 800013528
Virginia Other 277940

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