Lang, Jennifer

Lang, Jennifer is an individual health care provider with primary practice located at 1130 S Harbor City Blvd Suite 101, Melbourne FL 32901-1966. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lang, Jennifer can be contacted via phone (321) 914-4211.

Contact Information

Primary practice address
1130 S Harbor City Blvd Suite 101 Melbourne FL 32901-1966
Phone: (321) 914-4211
Fax: (321) 914-4212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102077 Florida

Profile Details

NPI number 1417912494
LBN Legal business name Lang, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 30th, 2011 - about 13 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 1417912494 NPPES
Florida MEDICAID 291338100

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