Lange, Mary Patricia
Lange, Mary Patricia is an individual health care provider with primary practice located at 4601 John R , Detroit MI 48201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Lange, Mary Patricia can be contacted via phone (313) 576-3955.Contact Information
Primary practice address
4601 John R
Detroit MI 48201
Phone: (313) 576-3955
Fax: (313) 576-1191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 4704103457 | Michigan |
Profile Details
| NPI number | 1740394055 |
|---|---|
| LBN Legal business name | Lange, Mary Patricia |
| Credentials | PHD, NP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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