Mrs. Jeanni Clancey Lang
Orthotic Fitter
612 D St
San Rafael
, California 94901
Mrs. Jeanni Clancey Lang
Orthotic Fitter
612 D St
San Rafael
, California 94901
(415) 454-6078
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Jeanni Clancey Lang
- Po Box 478
- Fiarfax, CA
- Zip : 94978-0478
- Fax : (415) 454-6078
- Phone : (415) 454-6058
Second Address
- Mrs. Jeanni Clancey Lang
- 612 D St
- San Rafael, CA
- Zip : 94901
- Fax : (415) 454-6078
- Phone : (415) 454-6058
Reviews
FAQs
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Is Mrs. Jeanni Clancey Lang a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1356469985 |
|---|---|
| Provider Name | Mrs. Jeanni Clancey Lang |
| First Address | Fiarfax, CA 94978-0478 |
| Second Address | San Rafael, CA 94901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CFM00640 | ABC (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.