Provider Demographics
NPI:1194739854
Name:LANGFORD, ANNE CHRISTINE (DC, DICCP)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:CHRISTINE
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:DC, DICCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 CLEVELAND AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-1345
Mailing Address - Country:US
Mailing Address - Phone:651-699-8610
Mailing Address - Fax:651-699-1207
Practice Address - Street 1:730 CLEVELAND AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-1345
Practice Address - Country:US
Practice Address - Phone:651-699-8610
Practice Address - Fax:651-699-1207
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3106111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN748828900Medicaid
MN350046301OtherRAILROAD MEDICARE
MN3C386LAOtherBLUECROSS BLUESHIELD
MN350001384Medicare PIN
MN350046301OtherRAILROAD MEDICARE
MN3C386LAOtherBLUECROSS BLUESHIELD