Lange, Theodore E
Lange, Theodore E is an individual health care provider with primary practice located at 500 W Fort St. # 111, Boise ID 83702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Lange, Theodore E can be contacted via phone (208) 422-1325.Contact Information
Primary practice address
500 W Fort St. # 111
Boise ID 83702
Phone: (208) 422-1325
Fax: (208) 422-1319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | M-9049 | Idaho |
Profile Details
| NPI number | 1831119270 |
|---|---|
| LBN Legal business name | Lange, Theodore E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Apr 19th, 2022 - about 2 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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