Lange, Kathleen Marie
Lange, Kathleen Marie is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy Suite 150, Bethel AK 99559-0528. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lange, Kathleen Marie can be contacted via phone (907) 543-6100.Contact Information
Primary practice address
829 Chief Eddie Hoffman Hwy Suite 150
Bethel AK 99559-0528
Phone: (907) 543-6100
Fax: (907) 543-6159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1083019145 |
|---|---|
| LBN Legal business name | Lange, Kathleen Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2014 |
| Last updated | Oct 30th, 2014 - about 12 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 | 1083019145 | NPPES |
| Alaska | MEDICAID | 1020986 |
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