Lange, David P

Lange, David P is an individual health care provider with primary practice located at 300 W Ottley Ave , Fruita CO 81521-2118. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Lange, David P can be contacted via phone (970) 858-3900.

Contact Information

Primary practice address
300 W Ottley Ave Fruita CO 81521-2118
Phone: (970) 858-3900
Fax: (970) 858-2743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D64974 Maryland
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D64974 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0051636 Colorado

Profile Details

NPI number 1740361401
LBN Legal business name Lange, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 7th, 2019 - about 6 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 1740361401 NPPES
Maryland MEDICAID 279281800

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