Individual
DR. JILL BAND LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
44 2ND STREET PIKE, SUITE 202, SOUTHAMPTON, PA 18966-3830
(215) 942-9429
(215) 942-9432
Mailing address
44 2ND STREET PIKE, SUITE 202, SOUTHAMPTON, PA 18966-3830
(215) 942-9429
(215) 942-9432
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC007234L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1676244
GROUP NUMBER
PA
01
—
2214751
AETNA PROVIDER #
PA
Enumeration date
12/08/2006
Last updated
07/09/2007
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