Lange, Stefanie Katherine

Lange, Stefanie Katherine is an individual health care provider with primary practice located at 126 S Main St , Livingston MT 59047-2624. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lange, Stefanie Katherine can be contacted via phone (406) 222-1111.

Contact Information

Primary practice address
126 S Main St Livingston MT 59047-2624
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48165 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11838 Montana

Profile Details

NPI number 1609800788
LBN Legal business name Lange, Stefanie Katherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 31st, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609800788 NPPES
Montana MEDICAID 263228

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