Lang, Patrick Barde

Lang, Patrick Barde is an individual health care provider with primary practice located at 7495 South. State Street , Midvale UT 84047. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lang, Patrick Barde can be contacted via phone (801) 213-9400.

Contact Information

Primary practice address
7495 South. State Street Midvale UT 84047
Phone: (801) 213-9400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Utah

Profile Details

NPI number 1285794552
LBN Legal business name Lang, Patrick Barde
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2006
Last updated Nov 3rd, 2011 - about 15 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 1285794552 NPPES
Utah Other 377086-8906 UTAH DOPL PA CONTROL SUB
Utah Other TPRA08420 UTAH DOPL PA CONTROL SUB
Utah Other 377086-1206 UTAH DOPL PA CONTROL SUB

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