Lange, Mark A

Lange, Mark A is an individual health care provider with primary practice located at 3801 Lake Otis Pkwy Suite 300, Anchorage AK 99508-5234. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Lange, Mark A can be contacted via phone (907) 562-2277.

Contact Information

Primary practice address
3801 Lake Otis Pkwy Suite 300 Anchorage AK 99508-5234
Phone: (907) 562-2277
Fax: (907) 563-3460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1838 Alaska

Profile Details

NPI number 1750367991
LBN Legal business name Lange, Mark A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Feb 29th, 2016 - about 10 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 1750367991 NPPES
Alaska MEDICAID 1029494

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