Provider Demographics
NPI:1487626115
Name:LANGLITZ CHIROPRACTIC HEALTH AND REHABILITATION GROUP PC
Entity Type:Organization
Organization Name:LANGLITZ CHIROPRACTIC HEALTH AND REHABILITATION GROUP PC
Other - Org Name:PHYSICIANS PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIANS
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGLITZ
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:413-732-4800
Mailing Address - Street 1:80 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108
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
Practice Address - Country:US
Practice Address - Phone:413-732-4800
Practice Address - Fax:413-739-4239
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSICIANS PLUS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-06
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1610651Medicaid
0003472Medicare UPIN
MA1610651Medicaid