Individual
HENRY RAY LANDSGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
(303) 306-7753
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101011929
MI
207P00000X
Emergency Medicine Physician
Primary
DR.0055268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332953
—
MI
05
—
3339927
—
MI
05
—
3417756
—
MI
05
—
95937072
—
CO
01
—
HL011929
BLUE CROSS BLUE SHIELD
—
01
—
P00065018
RAILROAD MEDICARE PIN
MI
Enumeration date
11/23/2005
Last updated
06/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us