Lang, Jeanni Clancey

Lang, Jeanni Clancey is an individual health care provider with primary practice located at 612 D St , San Rafael CA 94901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Lang, Jeanni Clancey can be contacted via phone (415) 454-6058.

Contact Information

Primary practice address
612 D St San Rafael CA 94901
Phone: (415) 454-6058
Fax: (415) 454-6078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X

Profile Details

NPI number 1356469985
LBN Legal business name Lang, Jeanni Clancey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 19 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 1356469985 NPPES
California Other CFM00640 ABC

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