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Contact Information

KAITLIN R LANGE, PA-C
405 B WASHINGTON JACKSON ROAD
SUITE 108
EATON, OH45320
 Phone: 937-456-8330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KAITLIN R LANGE · (Female)

NPI Number 1821712068
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/30/2022
Last updated 04/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50.007778RX
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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