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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 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 1770783532 NPPES
North Carolina MEDICAID 5907250

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