Langsjoen, Peter Harald

Langsjoen, Peter Harald is an sole proprietor health care provider with primary practice located at 1107 Doctors Dr , Tyler TX 75701-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Langsjoen, Peter Harald can be contacted via phone (903) 595-3778.

Contact Information

Primary practice address
1107 Doctors Dr Tyler TX 75701-2124
Fax: (903) 595-4962
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X F6857 Texas

Profile Details

NPI number 1639164403
LBN Legal business name Langsjoen, Peter Harald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Oct 19th, 2007 - about 18 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 1639164403 NPPES
Other 060066132 RR MEDICARE
MEDICAID 110369901 RR MEDICARE
Other 060010531 RR MEDICARE

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