Individual
DR. JONATHON E LANGENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2476 TAYLOR RD, WILDWOOD, MO 63040-1222
(636) 458-7575
Mailing address
600 S OAK ST, UNION, MO 63084-2112
(314) 610-3366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038010515
IL
111N00000X
Chiropractor
Primary
2005035665
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08232176
BLUE CROSS BLUE SHIELD
IL
01
—
735170
HEALTHLINK
IL
Enumeration date
03/29/2007
Last updated
07/24/2008
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