Lang, Jill
Lang, Jill is an individual health care provider with primary practice located at 3325 Silas Creek Pkwy , Winston Salem NC 27103-3013. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Lang, Jill can be contacted via phone (336) 774-2400.Contact Information
Primary practice address
3325 Silas Creek Pkwy
Winston Salem NC 27103-3013
Phone: (336) 774-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 6535 | North Carolina |
Profile Details
| NPI number | 1770783532 |
|---|---|
| LBN Legal business name | Lang, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Nov 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770783532 | NPPES |
| North Carolina | MEDICAID | 5907250 |
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