Provider Demographics
NPI:1699741801
Name:LANGREHR, BONNIE JEAN (DC)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:JEAN
Last Name:LANGREHR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4222 MILWAUKEE ST
Mailing Address - Street 2:83
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-3508
Mailing Address - Country:US
Mailing Address - Phone:608-222-4244
Mailing Address - Fax:608-222-9341
Practice Address - Street 1:4222 MILWAUKEE ST
Practice Address - Street 2:83
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53714-3508
Practice Address - Country:US
Practice Address - Phone:608-222-4244
Practice Address - Fax:608-222-9341
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2250012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI397687773E07OtherBCBS SERVICING PROVIDER
WI397687773E07OtherBCBS SERVICING PROVIDER