Lange, James William
Lange, James William is an individual health care provider with primary practice located at 323 South Cascade Street , Fergus Falls MN 56537. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lange, James William can be contacted via phone (218) 736-3179.Contact Information
Primary practice address
323 South Cascade Street
Fergus Falls MN 56537
Phone: (218) 736-3179
Fax: (218) 736-7959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D7961 | Minnesota |
Profile Details
| NPI number | 1023185295 |
|---|---|
| LBN Legal business name | Lange, James William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1023185295 | NPPES |
| Other | 61512-LA | BLUE CROSS BLUE SHIELD |
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