Langdon, Jeffrey

Langdon, Jeffrey is an individual health care provider with primary practice located at 227 Wilmot Dr , Gastonia NC 28054-4048. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Langdon, Jeffrey can be contacted via phone (704) 861-2234.

Contact Information

Primary practice address
227 Wilmot Dr Gastonia NC 28054-4048
Phone: (704) 861-2234
Fax: (704) 861-2235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2562 North Carolina

Profile Details

NPI number 1306903695
LBN Legal business name Langdon, Jeffrey
Credentials MA, LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jun 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306903695 NPPES
North Carolina MEDICAID 6107436

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