Provider Demographics
NPI:1366127946
Name:LANGHEIM, CHRISTY SHILLING (MDIV)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:SHILLING
Last Name:LANGHEIM
Suffix:
Gender:F
Credentials:MDIV
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:KEEFE
Other - Last Name:SHILLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:702 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715-1424
Mailing Address - Country:US
Mailing Address - Phone:608-280-2600
Mailing Address - Fax:608-280-2703
Practice Address - Street 1:702 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1424
Practice Address - Country:US
Practice Address - Phone:608-280-2600
Practice Address - Fax:608-280-2703
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator