Provider Demographics
NPI:1356541601
Name:LANGLOIS FAMILY CHIROPRACTIC INC
Entity type:Organization
Organization Name:LANGLOIS FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:LANGLOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-536-6484
Mailing Address - Street 1:755 GRATTAN ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-1238
Mailing Address - Country:US
Mailing Address - Phone:413-592-6979
Mailing Address - Fax:413-536-0320
Practice Address - Street 1:233 GRATTAN ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-1311
Practice Address - Country:US
Practice Address - Phone:413-592-6979
Practice Address - Fax:413-536-0320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39658OtherBCBS OF MA
MAY49179Medicare PIN