Langley, Randall Keith
Langley, Randall Keith is an individual health care provider with primary practice located at 457 S Fitness Pl Suite 100, Eagle ID 83616-6568. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Langley, Randall Keith can be contacted via phone (208) 939-3332.Contact Information
Primary practice address
457 S Fitness Pl Suite 100
Eagle ID 83616-6568
Phone: (208) 939-3332
Fax: (208) 939-3338
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | RPT 655 | Idaho |
Profile Details
NPI number | 1598852139 |
---|---|
LBN Legal business name | Langley, Randall Keith |
Credentials | RPT, OCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2006 |
Last updated | Jul 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598852139 | NPPES |
Idaho | MEDICAID | 002779700 | |
Idaho | Other | 650012139 | |
Idaho | Other | T4371 | |
Idaho | Other | 000010009145 |
Popular Providers
-
Boldridge, Allison Andrews
77 N Fisher Park Way , Eagle ID 83616-4796 -
Stednitz, Kathryn L
21 N Fisher Park Way , Eagle ID 83616-4796 -
Howell, Karen Angela
951 E Plaza Dr , Eagle ID 83616-6566 -
Woodhouse, Cynthia
457 S Fitness Pl Ste 100 , Eagle ID 83616-6568 -
Toshcoff, Patricia Ann
457 S Fitness Pl Suite 100, Eagle ID 83616-6568 -
Rainey, Kimberly Ann
645 E State St Ste 101 , Eagle ID 83616-5915 -
Prince, Jared
7599 W Deerfawn Ln , Eagle ID 83616-5616 -
Woods, Staci Celeste
457 S Fitness Pl Suite 100, Eagle ID 83616-6568