Lange, Michael Joseph

Lange, Michael Joseph is an sole proprietor health care provider with primary practice located at 1703 Csah 15 , St. Peter MN 56082. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lange, Michael Joseph can be contacted via phone (507) 933-5033.

Contact Information

Primary practice address
1703 Csah 15 St. Peter MN 56082
Phone: (507) 933-5033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X LP3351 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3351 Minnesota

Profile Details

NPI number 1588857072
LBN Legal business name Lange, Michael Joseph
Credentials M.S., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2007
Last updated Aug 2nd, 2022 - about 4 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 1588857072 NPPES
Other LP3351 PSYCHOLOGY LICENSE

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