Healthcare Provider Details

I. General information

NPI: 1063608768
Provider Name (Legal Business Name): ALANGLEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 W MCGALLIARD RD
MUNCIE IN
47304-2150
US

IV. Provider business mailing address

2100 W MCGALLIARD RD
MUNCIE IN
47304-2150
US

V. Phone/Fax

Practice location:
  • Phone: 765-284-0010
  • Fax: 765-284-0070
Mailing address:
  • Phone: 765-284-0010
  • Fax: 765-284-0070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08000177A
License Number StateIN

VIII. Authorized Official

Name: DR. LUCIUS P. LANGLEY
Title or Position: PRESIDENT
Credential: D.C.
Phone: 765-284-0010