Lange, Robert
Lange, Robert is an sole proprietor health care provider with primary practice located at 1401 Churchill St , Waupaca WI 54981-2027. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Lange, Robert can be contacted via phone (715) 258-8131.Contact Information
Primary practice address
1401 Churchill St
Waupaca WI 54981-2027
Phone: (715) 258-8131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5166-26 | Wisconsin |
Profile Details
| NPI number | 1891917902 |
|---|---|
| LBN Legal business name | Lange, Robert |
| Credentials | MOTR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Dec 16th, 2014 - about 12 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 | 1891917902 | NPPES |
| Wisconsin | MEDICAID | 41043600 |
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