Langevin, Peggy Ann

Langevin, Peggy Ann is an sole proprietor health care provider with primary practice located at 1640 Shawano Ave , Green Bay WI 54303-3214. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Langevin, Peggy Ann can be contacted via phone (920) 499-5177.

Contact Information

Primary practice address
1640 Shawano Ave Green Bay WI 54303-3214
Phone: (920) 499-5177
Fax: (920) 499-6035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4645-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 176 North Dakota

Profile Details

NPI number 1700059920
LBN Legal business name Langevin, Peggy Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700059920 NPPES
Wisconsin MEDICAID 4021700

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