Lorenz, Phillip Herbert
Lorenz, Phillip Herbert is an sole proprietor health care provider with primary practice located at 2200 Logan Ave , Cheyenne WY 82001-4151. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lorenz, Phillip Herbert can be contacted via phone (307) 635-5560.Contact Information
Primary practice address
2200 Logan Ave
Cheyenne WY 82001-4151
Phone: (307) 635-5560
Fax: (307) 772-7304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1042 | Wyoming |
Profile Details
| NPI number | 1497891790 |
|---|---|
| LBN Legal business name | Lorenz, Phillip Herbert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 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 | 1497891790 | NPPES |
| Wyoming | Other | 1524775 | UNITED CONCORDIA |
| Wyoming | Other | 313462 | UNITED CONCORDIA |
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