Langham, Max R.

Langham, Max R. is an individual health care provider with primary practice located at 51 N Dunlap St , Memphis TN 38105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Langham, Max R. can be contacted via phone (901) 287-6760.

Contact Information

Primary practice address
51 N Dunlap St Memphis TN 38105
Phone: (901) 287-6760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD40078 Tennessee
Other Service Providers / Specialist 174400000X MD40078 Tennessee

Profile Details

NPI number 1992758080
LBN Legal business name Langham, Max R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 5th, 2018 - about 7 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 1992758080 NPPES
Arkansas MEDICAID 158146001
Arkansas MEDICAID 3333367

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