Lang, Phally

Lang, Phally is an sole proprietor health care provider with primary practice located at 542 Edgewood Ave S , Jacksonville FL 32205-5333. He recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as his primary health care specialty. Lang, Phally can be contacted via phone (978) 495-1461.

Contact Information

Primary practice address
542 Edgewood Ave S Jacksonville FL 32205-5333
Phone: (978) 495-1461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1831640929
LBN Legal business name Lang, Phally
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2016
Last updated Oct 24th, 2016 - about 8 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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