Lange, Joshua J
Lange, Joshua J is an individual health care provider with primary practice located at 45075 W Pontiac Trl , Novi MI 48377-1257. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lange, Joshua J can be contacted via phone (248) 960-5600.Contact Information
Primary practice address
45075 W Pontiac Trl
Novi MI 48377-1257
Phone: (248) 960-5600
Fax: (248) 960-8049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004248 | Michigan |
Profile Details
| NPI number | 1891884524 |
|---|---|
| LBN Legal business name | Lange, Joshua J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Nov 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891884524 | NPPES |
| Michigan | MEDICAID | 4637018 |
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