Organization
LANGE CHIROPRACTIC
Active
Organization
LANGE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LANGE (OWNE)
(413) 582-9889
Entity
Organization
Contact information
Practice address
300 PLEASANT ST STE 2, NORTHAMPTON, MA 01060-3917
(413) 582-9889
Mailing address
300 PLEASANT ST., SUITE #2, NORTHAMPTON, MA 01060
(413) 582-9889
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1613910
MASSHEALTH
MA
01
—
3911018
CIGNA
MA
01
—
406897
GIC
MA
01
—
446919
TUFTS
MA
01
—
8576V1
BC/BSEMPIRE
MA
01
—
AA49913
HPHC
MA
01
—
Y37056
BC/BS
MA
Enumeration date
01/14/2014
Last updated
01/14/2014
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