Lange, Dale J
Lange, Dale J is an individual health care provider with primary practice located at 800A 5Th Ave Ste 203 , New York NY 10065-7215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lange, Dale J can be contacted via phone (332) 334-6637.Contact Information
Primary practice address
800A 5Th Ave Ste 203
New York NY 10065-7215
Phone: (332) 334-6637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 150048 | New York |
Profile Details
| NPI number | 1528038841 |
|---|---|
| LBN Legal business name | Lange, Dale J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Feb 17th, 2023 - about last year |
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 | 1528038841 | NPPES |
| Connecticut | MEDICAID | 008063221 | |
| Connecticut | MEDICAID | 00780456 | |
| Connecticut | Other | 013JT1 |
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