Lange, David Eugene
Lange, David Eugene is an individual health care provider with primary practice located at 1901 Westwood Center Blvd , Wausau WI 54401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lange, David Eugene can be contacted via phone (715) 355-9424.Contact Information
Primary practice address
1901 Westwood Center Blvd
Wausau WI 54401
Phone: (715) 355-9424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 34537 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34537 | Wisconsin |
Profile Details
| NPI number | 1255449567 |
|---|---|
| LBN Legal business name | Lange, David Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Oct 1st, 2018 - about 7 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 | 1255449567 | NPPES |
| Wisconsin | MEDICAID | 31996700 |
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