Eric Alexander Langolf

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3383 Rabidue Rd
Clyde, MI 48049-4110

Phone

(586) 241-6723

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1164907127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 RABIDUE RD",
            "city": "CLYDE",
            "state": "MI",
            "postal_code": "480494110",
            "telephone_number": "586-241-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 RABIDUE RD",
            "city": "CLYDE",
            "state": "MI",
            "postal_code": "480494110",
            "telephone_number": "586-241-6723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3383 Rabidue Rd",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "MI",
            "postal_code": "480494110",
            "country_code": "US",
            "telephone_number": "586-241-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGOLF",
        "first_name": "ERIC",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Assisted Living Program (H.a.L.P.)
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• John Paul Keyser, M.D.
• Kristi Kilbourne
• Angela Koper, CST, BHA
• Sheila Peeling
• Nathan Paul Pruss, P.T.A.
• Bella Marie Schuman, REGISTERED NURSE
• Karen M Stockwell
• Jamie A Tickle

• Student in an Organized Health Care Education/Training Program in Clyde, MI
• Providers in Clyde, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.