Charles Langhorne

Individual provider Active NPI Private Vehicle · Cumberland, VA

NPI 1215436720 · NPPES record last updated Feb 9, 2018

Key facts

NPI
1215436720
Entity type
Individual (NPI type 1)
Primary specialty
Private Vehicle 347C00000X
Practice address
29 Marie Drive
Cumberland, VA 23040
Phone
(804) 347-5452
NPI assigned
Feb 9, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Yes

Addresses

Primary practice location

29 Marie Drive
Cumberland, VA 23040

Mailing address

29 Marie Dr
Cumberland, VA 23040-2654

Other providers in Cumberland, VA

All providers in Cumberland, VA · Private Vehicle in Virginia

Sources for this page

Verify at the official NPI Registry.