Provider Demographics
NPI:1063404648
Name:LANGLOIS, JOHN MORRIS (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MORRIS
Last Name:LANGLOIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 ENGLAR RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-2929
Mailing Address - Country:US
Mailing Address - Phone:410-848-3355
Mailing Address - Fax:410-848-3712
Practice Address - Street 1:250 ENGLAR RD
Practice Address - Street 2:SUITE 12
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-2929
Practice Address - Country:US
Practice Address - Phone:410-848-3355
Practice Address - Fax:410-848-3712
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52-2089517OtherPRUDENTIAL
MD52-2089517OtherPHCS
MDT4300001OtherCAREFIRST NCA
MD52-2089517OtherUHC (NATIONAL)
MD4400141OtherUHC (MID-ATLANTIC)
MD52-2089517OtherKAISER PERMANENTE
MD998417OtherAETNA (HMO, QPOS, MED)
MDM214OtherCAREFIRST (BLUE SHIELD)
MD52-2089517OtherFIDELITY
MD5604104OtherAETNA (OC, EC, MC)
MDT4300001OtherCAREFIRST NCA
MDM214OtherCAREFIRST (BLUE SHIELD)