Lange, Susan Elaine
Lange, Susan Elaine is an individual health care provider with primary practice located at 1126 Opal Ct , Hagerstown MD 21740-5940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lange, Susan Elaine can be contacted via phone (240) 420-2666.Contact Information
Primary practice address
1126 Opal Ct
Hagerstown MD 21740-5940
Phone: (240) 420-2666
Fax: (240) 420-0951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R135100 | Maryland |
Profile Details
| NPI number | 1811092364 |
|---|---|
| LBN Legal business name | Lange, Susan Elaine |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jan 7th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811092364 | NPPES |
| Maryland | MEDICAID | 002978500 |
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