1699804476 NPI number — STANMORE GEORGE LANGFORD III DC

Table of content: STANMORE GEORGE LANGFORD III DC (NPI 1699804476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699804476 NPI number — STANMORE GEORGE LANGFORD III DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANGFORD
Provider First Name:
STANMORE
Provider Middle Name:
GEORGE
Provider Name Prefix Text:
Provider Name Suffix Text:
III
Provider Credential Text:
DC
Provider Gender Code:
M

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:
1699804476
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4360 MAIN STREET
Provider Second Line Business Mailing Address:
LANGFORD CHIROPRACTIC SUITE 209 STANMORE C LANGFORD III
Provider Business Mailing Address City Name:
CHULA VISTA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91911-6575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-585-3611
Provider Business Mailing Address Fax Number:
619-585-3469

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4360 MAIN STREET
Provider Second Line Business Practice Location Address:
LANGFORD CHIROPRACTIC SUITE 209 STANMORE C LANGFORD III
Provider Business Practice Location Address City Name:
CHULA VISTA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91911-6575
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-585-3611
Provider Business Practice Location Address Fax Number:
619-585-3469
Provider Enumeration Date:
03/05/2007

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: 111N00000X , with the licence number:  DC16687 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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