Provider Demographics
NPI:1124106299
Name:LANGEN FAMILY CHIROPRACTIC, P.A.
Entity type:Organization
Organization Name:LANGEN FAMILY CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:218-346-7463
Mailing Address - Street 1:108 MARKET DR.
Mailing Address - Street 2:
Mailing Address - City:PERHAM
Mailing Address - State:MN
Mailing Address - Zip Code:56573
Mailing Address - Country:US
Mailing Address - Phone:218-346-7463
Mailing Address - Fax:218-346-3637
Practice Address - Street 1:108 MARKET DR.
Practice Address - Street 2:
Practice Address - City:PERHAM
Practice Address - State:MN
Practice Address - Zip Code:56573
Practice Address - Country:US
Practice Address - Phone:218-346-7463
Practice Address - Fax:218-346-3637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN38B35LAOtherBLUE CROSS
MN0429OtherHEALTH SERVICES MANAGEMEN
MN605173OtherCHIRO CARE
MN38B41LAOtherBLUE CROSS
MN605173OtherCHIRO CARE