Langill, Amber M
Langill, Amber M is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Langill, Amber M can be contacted via phone (920) 433-3500.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (920) 433-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1992-029 | Wisconsin |
Profile Details
| NPI number | 1104012350 |
|---|---|
| LBN Legal business name | Langill, Amber M |
| Credentials | Clinical Dietitian (CD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Sep 21st, 2007 - about 18 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 | 1104012350 | NPPES |
| Wisconsin | Other | 1992-029 | WISCONSIN LICENSE |
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