Lange, Kelly Marie
Lange, Kelly Marie is an sole proprietor health care provider with primary practice located at 108 E Hersey St # 2, Ashland OR 97520-1363. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Lange, Kelly Marie can be contacted via phone (541) 482-3492.Contact Information
Primary practice address
108 E Hersey St # 2
Ashland OR 97520-1363
Phone: (541) 482-3492
Fax: (541) 482-4203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3497 | Oregon |
Profile Details
| NPI number | 1366463804 |
|---|---|
| LBN Legal business name | Lange, Kelly Marie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Sep 14th, 2017 - about 7 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 | 1366463804 | NPPES |
| Oregon | MEDICAID | 233002 |
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