Provider Demographics
NPI:1558472373
Name:LANGOHR, JANIS IRENE (MD)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:IRENE
Last Name:LANGOHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 NORTH 30TH STREET SUITE 200
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0126
Mailing Address - Country:US
Mailing Address - Phone:406-238-6600
Mailing Address - Fax:406-238-6645
Practice Address - Street 1:1232 NORTH 30TH STREET SUITE 200
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0126
Practice Address - Country:US
Practice Address - Phone:406-238-6600
Practice Address - Fax:406-238-6645
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7386208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0099528Medicaid
F36418Medicare UPIN