Provider Demographics
NPI:1548213234
Name:LANGEN, WILLIAM J II (RN)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:LANGEN
Suffix:II
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10105 W PLAINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228-2027
Mailing Address - Country:US
Mailing Address - Phone:414-425-7575
Mailing Address - Fax:
Practice Address - Street 1:10105 W PLAINFIELD AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53228-2027
Practice Address - Country:US
Practice Address - Phone:414-425-7575
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38298000Medicaid