Provider Demographics
NPI:1164525317
Name:LANGLITZ, GEORGE III (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:LANGLITZ
Suffix:III
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 1:80 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-2503
Mailing Address - Country:US
Mailing Address - Phone:413-732-4800
Mailing Address - Fax:413-739-4239
Practice Address - Street 1:80 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-2503
Practice Address - Country:US
Practice Address - Phone:413-732-4800
Practice Address - Fax:413-739-4239
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1610651Medicaid
MAY36698OtherBCBS
MAY45341Medicare ID - Type Unspecified
MA1610651Medicaid