Konetzka, Lorien
Konetzka, Lorien is an individual health care provider with primary practice located at 322 Dupont Dr Ste C , Seymour IN 47274-1764. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Konetzka, Lorien can be contacted via phone (317) 334-7331.Contact Information
Primary practice address
322 Dupont Dr Ste C
Seymour IN 47274-1764
Phone: (317) 334-7331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-16-23039 | Indiana |
Profile Details
| NPI number | 1043761778 |
|---|---|
| LBN Legal business name | Konetzka, Lorien |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2016 |
| Last updated | Jun 4th, 2019 - about 7 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 | 1043761778 | NPPES |
| Indiana | MEDICAID | 300011450 |
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