Langston, Michael Allen

Langston, Michael Allen is an individual health care provider with primary practice located at 810 E 23Rd St , Sioux Falls SD 57105-2135. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Langston, Michael Allen can be contacted via phone (605) 331-5890.

Contact Information

Primary practice address
810 E 23Rd St Sioux Falls SD 57105-2135
Fax: (605) 336-3974
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0434 South Dakota

Profile Details

NPI number 1043242506
LBN Legal business name Langston, Michael Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 26th, 2010 - about 15 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 1043242506 NPPES
South Dakota MEDICAID 6826960

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