Lange, Jason Kent

Lange, Jason Kent is an individual health care provider with primary practice located at 2405 S Clear Creek Rd , Killeen TX 76549-5775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lange, Jason Kent can be contacted via phone (254) 618-1888.

Contact Information

Primary practice address
2405 S Clear Creek Rd Killeen TX 76549-5775
Fax: (254) 519-5264
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L3370 Texas

Profile Details

NPI number 1275593931
LBN Legal business name Lange, Jason Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275593931 NPPES
Colorado MEDICAID 98950827

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