Kohaus, Lawrence
Kohaus, Lawrence is an individual health care provider with primary practice located at 2200 E Washington St , Bloomington IL 61701-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kohaus, Lawrence can be contacted via phone (309) 663-2237.Contact Information
Primary practice address
2200 E Washington St
Bloomington IL 61701-4364
Phone: (309) 663-2237
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | Illinois |
Profile Details
| NPI number | 1407807001 |
|---|---|
| LBN Legal business name | Kohaus, Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 12th, 2007 - about 19 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 | 1407807001 | NPPES |
| Illinois | MEDICAID | 0360580601 |
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