Lange, Andrew

Lange, Andrew is an individual health care provider with primary practice located at 709 Spring Valley Rd , Burlington WI 53105-7614. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lange, Andrew can be contacted via phone (262) 767-6020.

Contact Information

Primary practice address
709 Spring Valley Rd Burlington WI 53105-7614
Phone: (262) 767-6020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-002426 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1976 Wisconsin

Profile Details

NPI number 1194771428
LBN Legal business name Lange, Andrew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Oct 2nd, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194771428 NPPES
Wisconsin MEDICAID 42892000

Popular Providers