Lorenz, Kevin M

Lorenz, Kevin M is an individual health care provider with primary practice located at 620 N 9Th St , Bismarck ND 58501-4112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lorenz, Kevin M can be contacted via phone (701) 255-4673.

Contact Information

Primary practice address
620 N 9Th St Bismarck ND 58501-4112
Phone: (701) 255-4673
Fax: (701) 255-4934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 7221 North Dakota

Profile Details

NPI number 1861480006
LBN Legal business name Lorenz, Kevin M
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jan 4th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861480006 NPPES
North Dakota Other 13979 BLSH OF ND
North Dakota MEDICAID 7779480 BLSH OF ND
North Dakota Other 877221 BLSH OF ND
North Dakota MEDICAID 18532 BLSH OF ND

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