Lange, Kaitlin Raeleen

Lange, Kaitlin Raeleen is an individual health care provider with primary practice located at 405 B Washington Jackson Road Suite 108, Eaton OH 45320. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lange, Kaitlin Raeleen can be contacted via phone (937) 456-8330.

Contact Information

Primary practice address
405 B Washington Jackson Road Suite 108 Eaton OH 45320
Phone: (937) 456-8330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50.007778RX Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.007778RX Ohio

Profile Details

NPI number 1821712068
LBN Legal business name Lange, Kaitlin Raeleen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2022
Last updated Apr 19th, 2023 - about 2 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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