Jeffrey Don Lange
Organization Active NPI Chiropractor · Metropolis, IL
NPI 1285642256 · NPPES record last updated Mar 25, 2011
Key facts
- NPI
- 1285642256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038007962 (IL)
- Legal business name
- JEFFREY DON LANGE
- Practice address
- 810 Market St
Metropolis, IL 62960-1636 - Phone
- (618) 524-7575
- Fax
- (618) 524-7262
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Lange, D.C.
- Title
- Owner
- Phone
- (618) 524-7575
Practitioners 2
-
Jacob Richard Glass, D. C.
-
Jacob Ryan Quint, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 038007962 | IL | Yes |
Addresses
Primary practice location
810 Market St
Metropolis, IL 62960-1636
Mailing address
810 Market St
Metropolis, IL 62960-1636
Phone (618) 524-7575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06422045 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 038007962 | Medicaid | IL |
Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.