Lange, Nicholas

Lange, Nicholas is an sole proprietor health care provider with primary practice located at 2355 Highway 36 W Ste 100 , Roseville MN 55113-3905. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lange, Nicholas can be contacted via phone (651) 292-0000.

Contact Information

Primary practice address
2355 Highway 36 W Ste 100 Roseville MN 55113-3905
Phone: (651) 292-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 0101239993 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 65880 Minnesota

Profile Details

NPI number 1285650952
LBN Legal business name Lange, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jul 19th, 2021 - about 4 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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