Delange, Edwin L
Delange, Edwin L is an sole proprietor health care provider with primary practice located at 3273 Davison Rd Ste 2, Lapeer MI 48446-2902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Delange, Edwin L can be contacted via phone (810) 667-8840.Contact Information
Primary practice address
3273 Davison Rd Ste 2
Lapeer MI 48446-2902
Phone: (810) 667-8840
Fax: (810) 667-8846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ED008382 | Michigan |
Profile Details
| NPI number | 1073510723 |
|---|---|
| LBN Legal business name | Delange, Edwin L |
| Credentials | D.O. PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jan 12th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073510723 | NPPES |
| Michigan | Other | 30-0010621 | STATE LICENSE NUMBER |
| Michigan | Other | 5440014 | STATE LICENSE NUMBER |
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