Lange, Mark A
Lange, Mark A is an individual health care provider with primary practice located at 3801 Lake Otis Pkwy Suite 300, Anchorage AK 99508-5234. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Lange, Mark A can be contacted via phone (907) 562-2277.Contact Information
Primary practice address
3801 Lake Otis Pkwy Suite 300
Anchorage AK 99508-5234
Phone: (907) 562-2277
Fax: (907) 563-3460
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1838 | Alaska |
Profile Details
NPI number | 1750367991 |
---|---|
LBN Legal business name | Lange, Mark A |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2005 |
Last updated | Feb 29th, 2016 - about 8 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 | 1750367991 | NPPES |
Alaska | MEDICAID | 1029494 |
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