Langen Family Chiropractic, P.a.
Organization Active NPI Chiropractor · Perham, MN
NPI 1124106299 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124106299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3341 (MN)
- Legal business name
- LANGEN FAMILY CHIROPRACTIC, P.A.
- Practice address
- 108 Market Dr.
Perham, MN 56573 - Phone
- (218) 346-7463
- Fax
- (218) 346-3637
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- James Langen, D.C.
- Title
- President
- Phone
- (218) 346-7463
Practitioners 1
-
James Odin Langen, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061207000300 | MN | Part B Supplier - Clinic/Group Practice | 7810995792 |
Receives reassigned benefits from 1 practitioner Practice locations: Perham, MN |
National Provider Directory
Locations
108 Market Dr
Perham, MN 56573
Phone (218) 346-7463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3341 | MN | Yes |
Addresses
Primary practice location
108 Market Dr.
Perham, MN 56573
Mailing address
108 Market Dr.
Perham, MN 56573
Phone (218) 346-7463
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38B35LA | Other | MN | BLUE CROSS |
| 0429 | Other | MN | HEALTH SERVICES MANAGEMEN |
| 605173 | Other | MN | CHIRO CARE |
| 38B41LA | Other | MN | BLUE CROSS |
Other providers in Perham, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.