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Contact Information

TYSON L LANGELIERS, PA -C, ATC, LAT
51600 HUNTINGTON RD
LA PINE, OR97739
 Phone: 541-536-3435
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for TYSON L LANGELIERS · (Male)

NPI Number 1861429482
Status Active
Credentials PA -C, ATC, LAT
Entity Individual
Enumeration date 06/27/2006
Last updated 07/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ID License # AT-223
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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