Lorentz, Marty Jon
Lorentz, Marty Jon is an individual health care provider with primary practice located at 2850 National Dr Ste 105, Onalaska WI 54650-6732. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lorentz, Marty Jon can be contacted via phone (608) 519-5767.Contact Information
Primary practice address
2850 National Dr Ste 105
Onalaska WI 54650-6732
Phone: (608) 519-5767
Fax: (608) 519-5768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3375 | Wisconsin |
Profile Details
| NPI number | 1417990722 |
|---|---|
| LBN Legal business name | Lorentz, Marty Jon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Mar 26th, 2014 - about 12 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 | 1417990722 | NPPES |
| Wisconsin | Other | P00108135 | RAILROAD MEDICARE PIN |
| Wisconsin | MEDICAID | 38898200 | RAILROAD MEDICARE PIN |
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