Provider Demographics
NPI:1740707157
Name:LANGHOUGH, JASON (DC, DACNB)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:LANGHOUGH
Suffix:
Gender:M
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 FROEHLICH FARM BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2905
Mailing Address - Country:US
Mailing Address - Phone:516-513-1490
Mailing Address - Fax:
Practice Address - Street 1:1895 N NC 16 BUSINESS HWY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-8642
Practice Address - Country:US
Practice Address - Phone:704-489-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-25
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012879-1111NN0400X
NC5408111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology