Kannegieter, Lane S

Kannegieter, Lane S is an individual health care provider with primary practice located at 5 Mobile Infirmary Cir , Mobile AL 36607-3513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kannegieter, Lane S can be contacted via phone (251) 544-1926.

Contact Information

Primary practice address
5 Mobile Infirmary Cir Mobile AL 36607-3513
Phone: (251) 544-1926
Fax: (251) 460-2846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22125 Alabama

Profile Details

NPI number 1316928054
LBN Legal business name Kannegieter, Lane S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 7th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316928054 NPPES
Alabama MEDICAID 009935196
Alabama MEDICAID 009960920
Alabama MEDICAID 104759

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