Langlois, David

Langlois, David is an individual health care provider with primary practice located at 1104 Professional Blvd , Dalton GA 30720-2588. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Langlois, David can be contacted via phone (706) 226-5533.

Contact Information

Primary practice address
1104 Professional Blvd Dalton GA 30720-2588
Fax: (706) 529-5858
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001891 Georgia

Profile Details

NPI number 1265525141
LBN Legal business name Langlois, David
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Dec 19th, 2008 - about 17 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 1265525141 NPPES
Georgia MEDICAID 100000524B

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