Lang, Debra

Lang, Debra is an individual health care provider with primary practice located at 11110 W Windsor Ave , Avondale AZ 85323-5875. 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. Lang, Debra can be contacted via phone (623) 907-5428.

Contact Information

Primary practice address
11110 W Windsor Ave Avondale AZ 85323-5875
Phone: (623) 907-5428
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 10432 Arizona

Profile Details

NPI number 1720132574
LBN Legal business name Lang, Debra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1720132574 NPPES
Arizona MEDICAID 968696

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