Langstaff, Renee M
Langstaff, Renee M is an individual health care provider with primary practice located at 401 Young Ave Ste 275 , Moorestown NJ 08057-3141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Langstaff, Renee M can be contacted via phone (856) 291-8855.Contact Information
Primary practice address
401 Young Ave Ste 275
Moorestown NJ 08057-3141
Phone: (856) 291-8855
Fax: (856) 291-8844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 25MP00039600 | New Jersey |
Profile Details
| NPI number | 1083677918 |
|---|---|
| LBN Legal business name | Langstaff, Renee M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Apr 3rd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083677918 | NPPES |
| New Jersey | MEDICAID | 026097 |
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