Lange, Brooke A

Lange, Brooke A is an individual health care provider with primary practice located at 830 W High St Ste 360 , Lima OH 45801-3985. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lange, Brooke A can be contacted via phone (419) 227-7117.

Contact Information

Primary practice address
830 W High St Ste 360 Lima OH 45801-3985
Phone: (419) 227-7117
Fax: (419) 227-2848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.004109 Ohio

Profile Details

NPI number 1093103038
LBN Legal business name Lange, Brooke A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2014
Last updated Apr 1st, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093103038 NPPES
Ohio MEDICAID 0116351
Ohio Other 9943723
Ohio Other 1184652539
Ohio Other 0105065

Popular Providers