Landry, Sandra C.

Landry, Sandra C. is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Landry, Sandra C. can be contacted via phone (401) 444-7585.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-7585
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01050 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1865 Massachusetts

Profile Details

NPI number 1104925734
LBN Legal business name Landry, Sandra C.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 6th, 2024 - about 2 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 1104925734 NPPES
Massachusetts MEDICAID 110107462A
Massachusetts MEDICAID 3139529

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