Landon, Richard Charles

Landon, Richard Charles is an individual health care provider with primary practice located at 1812 Marsh Rd Store 505, Wilmington DE 19810-4581. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Landon, Richard Charles can be contacted via phone (302) 475-7500.

Contact Information

Primary practice address
1812 Marsh Rd Store 505 Wilmington DE 19810-4581
Phone: (302) 475-7500
Fax: (302) 475-5787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT015816 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J1-0002838 Delaware

Profile Details

NPI number 1598750176
LBN Legal business name Landon, Richard Charles
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 21st, 2012 - about 14 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 1598750176 NPPES
Pennsylvania Other LA1413014 BCBS
Pennsylvania Other P01089025 BCBS

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