Lange, Carly

Lange, Carly is an individual health care provider with primary practice located at 417 S 6Th St , Boise ID 83702-7632. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Lange, Carly can be contacted via phone (208) 577-4460.

Contact Information

Primary practice address
417 S 6Th St Boise ID 83702-7632
Phone: (208) 577-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 57823 Idaho

Profile Details

NPI number 1568153096
LBN Legal business name Lange, Carly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2023
Last updated May 16th, 2023 - about 3 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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