Landy, Stephen H

Landy, Stephen H is an individual health care provider with primary practice located at 311 S Gloster St Ste 103 , Tupelo MS 38801-4747. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Landy, Stephen H can be contacted via phone (601) 401-6400.

Contact Information

Primary practice address
311 S Gloster St Ste 103 Tupelo MS 38801-4747
Phone: (601) 401-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 11567 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD0000014260 Tennessee

Profile Details

NPI number 1528029618
LBN Legal business name Landy, Stephen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Apr 14th, 2020 - about 6 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 1528029618 NPPES
Mississippi MEDICAID 00121622
Mississippi Other 130014479
Mississippi MEDICAID 112511001
Mississippi MEDICAID 3010577

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