Lange, Kelly Marie
Lange, Kelly Marie is an sole proprietor health care provider with primary practice located at 42189 Ann Arbor Rd E , Plymouth MI 48170-4370. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lange, Kelly Marie can be contacted via phone (734) 754-1172.Contact Information
Primary practice address
42189 Ann Arbor Rd E
Plymouth MI 48170-4370
Phone: (734) 754-1172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | L1021506 | Michigan |
Profile Details
| NPI number | 1568644292 |
|---|---|
| LBN Legal business name | Lange, Kelly Marie |
| Credentials | M.A, L.L.P |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2007 |
| Last updated | Aug 16th, 2016 - about 9 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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