Provider Demographics
NPI:1578937348
Name:LANGLOIS, JEFFREY (CN, ND)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:LANGLOIS
Suffix:
Gender:M
Credentials:CN, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8843 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2725
Mailing Address - Country:US
Mailing Address - Phone:414-453-4070
Mailing Address - Fax:
Practice Address - Street 1:8843 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2725
Practice Address - Country:US
Practice Address - Phone:414-453-4070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator