Provider Demographics
NPI:1720287329
Name:RICHARD N. LANGDON D.C.P.C.
Entity type:Organization
Organization Name:RICHARD N. LANGDON D.C.P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:LANGDON
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:570-822-4848
Mailing Address - Street 1:250 S RIVER ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1143
Mailing Address - Country:US
Mailing Address - Phone:570-822-4848
Mailing Address - Fax:570-822-4879
Practice Address - Street 1:250 S RIVER ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1143
Practice Address - Country:US
Practice Address - Phone:570-822-4848
Practice Address - Fax:570-822-4879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006453910001Medicaid
PA077910OtherFIRST PRIORITY
PA4408741OtherAETNA
PA567086OtherBLUE SHIELD
PA567086OtherBLUE SHIELD