Provider Demographics
NPI:1437628138
Name:LANGAAS SPINE CARE
Entity Type:Organization
Organization Name:LANGAAS SPINE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGAAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-752-4023
Mailing Address - Street 1:7 PINE RIDGE LOOP RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-5124
Mailing Address - Country:US
Mailing Address - Phone:207-752-4023
Mailing Address - Fax:
Practice Address - Street 1:7 PINE RIDGE LOOP RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-5124
Practice Address - Country:US
Practice Address - Phone:207-752-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy