Lange, Jenny

Lange, Jenny is an individual health care provider with primary practice located at 1721 Boul Ave , Swansea IL 62226-4294. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lange, Jenny can be contacted via phone (618) 233-1054.

Contact Information

Primary practice address
1721 Boul Ave Swansea IL 62226-4294
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1386310357
LBN Legal business name Lange, Jenny
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 4 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.

Request for update

Popular Providers