1922248608 NPI number — WILLIAM H LANGFIELD JR.

Table of content: (NPI 1922248608)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922248608 NPI number — WILLIAM H LANGFIELD JR.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAM H LANGFIELD JR.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1922248608
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
598 COUNTY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERSET
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02726-4204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-676-8167
Provider Business Mailing Address Fax Number:
508-676-1434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
598 COUNTY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02726-4204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-676-8167
Provider Business Practice Location Address Fax Number:
508-676-1434
Provider Enumeration Date:
02/20/2009

Additional Information

Authorized Official

Authorized Official Last Name:
LANGFIELD
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
H
Authorized Official Title or Position:
OWNER/DOCTOR
Authorized Official Telephone Number:
508-676-8167

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  2876 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 79024 . This is a "BLUE CROSS RI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 15227 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0344214 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2201002 . This is a "UNITED HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: W15566 . This is a "BLUE CROSS MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 400875 . This is a "BLUE CHIP" identifier . This identifiers is of the category "OTHER".




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