Lange, Leif R
Lange, Leif R is an individual health care provider with primary practice located at 528 S Pinellas Ave , Tarpon Springs FL 34689-3640. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lange, Leif R can be contacted via phone (727) 934-6500.Contact Information
Primary practice address
528 S Pinellas Ave
Tarpon Springs FL 34689-3640
Phone: (727) 934-6500
Fax: (727) 945-8374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH8229 | Florida |
Profile Details
| NPI number | 1760670384 |
|---|---|
| LBN Legal business name | Lange, Leif R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Jul 2nd, 2009 - about 16 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 | 1760670384 | NPPES |
| Other | 89163 | BLUE CROSS BLUE SHIELD |
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