NPI 1114585163
Cory Bruce Langberg
Practice location
- Address
- 5362 W Prairie Ave, Post Falls, ID 83854-5912
- Phone
- (208) 786-2470
- Mailing address
- PO Box 3212, Post Falls, ID 83877-3212
Registered specialties (6)
Non-emergency Medical Transport (VAN)
Primary
Contractor
Home Modifications Contractor
Case Management Agency
Private Vehicle
Registry record
- NPI
- 1114585163
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Jun 2019
- Record last updated
- 26 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.