Lange, Erin O.

Lange, Erin O. is an individual health care provider with primary practice located at 700 S Park St Ste A , Madison WI 53715-1830. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Lange, Erin O. can be contacted via phone (608) 260-2900.

Contact Information

Primary practice address
700 S Park St Ste A Madison WI 53715-1830
Phone: (608) 260-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60467212 Washington
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 51313 Wisconsin

Profile Details

NPI number 1326084526
LBN Legal business name Lange, Erin O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 4th, 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 1326084526 NPPES
Washington MEDICAID 1326084526

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