Langworthy, Kenneth M

Langworthy, Kenneth M is an individual health care provider with primary practice located at 15 S Dryden Pl , Arlington Heights IL 60004-6369. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Vascular Specialist, which is considered as his primary health care specialty. Langworthy, Kenneth M can be contacted via phone (847) 577-5814.

Contact Information

Primary practice address
15 S Dryden Pl Arlington Heights IL 60004-6369
Phone: (847) 577-5814
Fax: (847) 577-5914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Vascular Specialist 246XC2903X

Profile Details

NPI number 1134157142
LBN Legal business name Langworthy, Kenneth M
Credentials Registered Vascular Technologist (RVT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1134157142 NPPES
Illinois Other 0002232513 BLUECROSSBLUESHIELD OF IL

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