Kohl, Lonnie W
Kohl, Lonnie W is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Suite 209, Goodyear AZ 85395-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kohl, Lonnie W can be contacted via phone (623) 512-4320.Contact Information
Primary practice address
13555 W Mcdowell Rd Suite 209
Goodyear AZ 85395-2624
Phone: (623) 512-4320
Fax: (623) 512-4321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 3417 | Arizona |
Profile Details
| NPI number | 1346276706 |
|---|---|
| LBN Legal business name | Kohl, Lonnie W |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jan 20th, 2011 - about 15 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 | 1346276706 | NPPES |
| Arizona | MEDICAID | 122816 |
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