Lange, John Paul
Lange, John Paul is an sole proprietor health care provider with primary practice located at 1171 N Cotner Blvd , Lincoln NE 68505-1835. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lange, John Paul can be contacted via phone (402) 466-6070.Contact Information
Primary practice address
1171 N Cotner Blvd
Lincoln NE 68505-1835
Phone: (402) 466-6070
Fax: (402) 466-6178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 848 | Nebraska |
Profile Details
| NPI number | 1902890833 |
|---|---|
| LBN Legal business name | Lange, John Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Feb 2nd, 2011 - about 13 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 | 1902890833 | NPPES |
| Nebraska | MEDICAID | 47064095500 |
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