Charles Gerard Landry in Auburn - Neuromusculoskeletal Medicine & Omm
Charles Gerard Landry - NPI 1063418945
Charles Gerard Landry is a Neuromusculoskeletal Medicine & Omm in Auburn, Maine. Charles Gerard Landry practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Charles Gerard Landry is 1063418945. The last update date is 2019-03-15.
Charles Gerard Landry's current location address is Po Box 338, Auburn, Maine. You can contact this provider via phone number 2072410401. The mailing address for Charles Gerard Landry is Po Box 338, Auburn, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Gerard Landry |
|---|---|
| Address | Po Box 338, Auburn, Maine |
| Phone Number | 2072410401 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1063418945 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2019-03-15 |
Provider Mailing Address Detail
| Address | Po Box 338 |
|---|---|
| City | Auburn |
| State | Maine (ME) |
| Post Code | 42120338 |
| Phone Number | 2072410401 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|---|
| Taxonomy | 204D00000X |
| Licence No | ME 1773 |
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Definition: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22791 | ME | ANTHEM BCBS | |
| 3461045 | AETNA | ||
| 408470099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charles Gerard Landry by the Centers for Medicare & Medicaid Services?
The Charles Gerard Landry has been assigned the NPI (National Provider Identifier) 1063418945 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Charles Gerard Landry?
The Charles Gerard Landry is physically situated at Po Box 338, in the city of Auburn, state of ME, with the postal code 42120338.
What is Charles Gerard Landry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles Gerard Landry is Neuromusculoskeletal Medicine & Omm, and the taxonomy classification code that categorizes this area of expertise is 204D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063418945 to Charles Gerard Landry?
The Centers for Medicare & Medicaid Services assigned the 1063418945 to Charles Gerard Landry on 2005-06-24.
As of what date were the details pertaining to Charles Gerard Landry last refreshed?
The information related to the Charles Gerard Landry, including its address, specialty, and other relevant details, was last updated on 2019-03-15.