Lange, Shelley A
Lange, Shelley A is an individual health care provider with primary practice located at 720 12Th St Se , Auburn WA 98002-6708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lange, Shelley A can be contacted via phone (253) 735-3606.Contact Information
Primary practice address
720 12Th St Se
Auburn WA 98002-6708
Phone: (253) 735-3606
Fax: (253) 351-9807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00009123 | Washington |
Profile Details
| NPI number | 1851383723 |
|---|---|
| LBN Legal business name | Lange, Shelley A |
| Credentials | MS, PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Feb 16th, 2011 - about 14 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 | 1851383723 | NPPES |
| Washington | Other | 186057 | DEPT OF LABOR & INDUSTRIE |
| Washington | Other | B022 | DEPT OF LABOR & INDUSTRIE |
| Washington | Other | 8938038 | DEPT OF LABOR & INDUSTRIE |
| Washington | Other | 8162FE | DEPT OF LABOR & INDUSTRIE |
| Washington | MEDICAID | 8337396 | DEPT OF LABOR & INDUSTRIE |
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