Provider Demographics
NPI:1053456590
Name:LANGHEIER, CRIS E (CHIROPRACTOR DC)
Entity Type:Individual
Prefix:DR
First Name:CRIS
Middle Name:E
Last Name:LANGHEIER
Suffix:
Gender:M
Credentials:CHIROPRACTOR DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1287
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688
Mailing Address - Country:US
Mailing Address - Phone:727-943-7354
Mailing Address - Fax:727-943-7316
Practice Address - Street 1:1501 S PINELLA AVE
Practice Address - Street 2:STE E
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689
Practice Address - Country:US
Practice Address - Phone:727-942-4140
Practice Address - Fax:727-938-7807
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22126OtherBLUE CROSS BS