1144208521 NPI number — JEAN LANGELIERS LRD

Table of content: JEAN LANGELIERS LRD (NPI 1144208521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144208521 NPI number — JEAN LANGELIERS LRD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANGELIERS
Provider First Name:
JEAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LRD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144208521
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 841
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEULAH
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58523-0841
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1312 HWY 49 NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEULAH
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-873-4445
Provider Business Practice Location Address Fax Number:
701-873-4199
Provider Enumeration Date:
01/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  173 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 55068 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".




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