Lange, Samantha
Lange, Samantha is an individual health care provider with primary practice located at 11421 Old Glenn Hwy Ste 101 , Eagle River AK 99577-7783. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lange, Samantha can be contacted via phone (907) 622-2500.Contact Information
Primary practice address
11421 Old Glenn Hwy Ste 101
Eagle River AK 99577-7783
Phone: (907) 622-2500
Fax: (907) 694-2289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 101890 | Alaska |
Profile Details
| NPI number | 1942744875 |
|---|---|
| LBN Legal business name | Lange, Samantha |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2016 |
| Last updated | Dec 12th, 2016 - about 10 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 | 1942744875 | NPPES |
| Alaska | Other | 101890 | ALASKA STATE MASSAGE THERAPY LICSENSE |
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