Individual
DR. CARLYLE GEORGE LANGHORN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-9515
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01065787A
IN
207P00000X
Emergency Medicine Physician
28132
NE
207P00000X
Emergency Medicine Physician
45779
TN
207P00000X
Emergency Medicine Physician
A105796
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Q1654
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134381296
—
VA
05
—
1518607
—
TN
05
—
7100138570
—
KY
Enumeration date
06/30/2008
Last updated
08/09/2022
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