Lane, Annette

Lane, Annette is an individual health care provider with primary practice located at 10943 W. Coolidge , Phoenix AZ 85037-7532. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Lane, Annette can be contacted via phone (602) 595-9826.

Contact Information

Primary practice address
10943 W. Coolidge Phoenix AZ 85037-7532
Phone: (602) 595-9826
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 8498 Arizona

Profile Details

NPI number 1679627756
LBN Legal business name Lane, Annette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 9th, 2007 - about 18 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 1679627756 NPPES
Arizona MEDICAID 848351

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