Lange, Elaine Gail

Lange, Elaine Gail is an individual health care provider with primary practice located at 485 Williamstown Rd , Sicklerville NJ 08081-1777. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lange, Elaine Gail can be contacted via phone (856) 227-6575.

Contact Information

Primary practice address
485 Williamstown Rd Sicklerville NJ 08081-1777
Phone: (856) 227-6575
Fax: (856) 237-8042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NN08298500 New Jersey
Nursing Service Providers / Registered Nurse 163W00000X NO08298500 New Jersey

Profile Details

NPI number 1083694913
LBN Legal business name Lange, Elaine Gail
Credentials R.N, A.P.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Nov 2nd, 2020 - about 5 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 1083694913 NPPES
New Jersey MEDICAID 0075337

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