Lansing, Judy M

Lansing, Judy M is an sole proprietor health care provider with primary practice located at 296 Mouache Dr. , Ignacio CO 81137-0429. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as her primary health care specialty. Lansing, Judy M can be contacted via phone (970) 563-4555.

Contact Information

Primary practice address
296 Mouache Dr. Ignacio CO 81137-0429
Fax: (970) 563-4618
Website:

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 116600 Colorado

Profile Details

NPI number 1528292521
LBN Legal business name Lansing, Judy M
Credentials CACIII
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2009
Last updated May 6th, 2009 - 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 1528292521 NPPES
Colorado Other 1390 CACIII

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