Langkow, Jean

Langkow, Jean is an individual health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Langkow, Jean can be contacted via phone (541) 942-6610.

Contact Information

Primary practice address
1515 Village Dr Cottage Grove OR 97424-9700
Phone: (541) 942-6610
Fax: (541) 942-6750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 094006180N3 Oregon

Profile Details

NPI number 1245276492
LBN Legal business name Langkow, Jean
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 11th, 2010 - about 14 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 1245276492 NPPES
Oregon MEDICAID 062463

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