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
Phone: (903) 595-3778
Fax: (903) 595-4962
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639164403 | NPPES |
Other | 060066132 | RR MEDICARE | |
MEDICAID | 110369901 | RR MEDICARE | |
Other | 060010531 | RR MEDICARE |
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