Langenberg, Mark Taylor

Langenberg, Mark Taylor is an individual health care provider with primary practice located at 500 W Main St , Livingston TN 38570-1718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Langenberg, Mark Taylor can be contacted via phone (931) 823-5681.

Contact Information

Primary practice address
500 W Main St Livingston TN 38570-1718
Phone: (931) 823-5681
Fax: (931) 823-8203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35093 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35093 Tennessee

Profile Details

NPI number 1891759767
LBN Legal business name Langenberg, Mark Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jun 6th, 2024 - about 2 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 1891759767 NPPES
Tennessee MEDICAID 3875548

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