Provider Demographics
NPI:1083799100
Name:LANGFORD, AMEL H (DC)
Entity Type:Individual
Prefix:DR
First Name:AMEL
Middle Name:H
Last Name:LANGFORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3576 ROUTE 30 W
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-4401
Mailing Address - Country:US
Mailing Address - Phone:724-539-3311
Mailing Address - Fax:724-539-9143
Practice Address - Street 1:3576 ROUTE 30 W
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650
Practice Address - Country:US
Practice Address - Phone:724-539-3311
Practice Address - Fax:724-539-9143
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001780L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T27153Medicare UPIN