Lorge, Patrick J

Lorge, Patrick J is an individual health care provider with primary practice located at 5801 Research Park Blvd Ste 110, Madison WI 53719-6002. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Lorge, Patrick J can be contacted via phone (608) 274-0770.

Contact Information

Primary practice address
5801 Research Park Blvd Ste 110 Madison WI 53719-6002
Phone: (608) 274-0770
Fax: (608) 274-9224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4597 Wisconsin

Profile Details

NPI number 1568499101
LBN Legal business name Lorge, Patrick J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568499101 NPPES
Wisconsin Other 10771 DEAN HEALTH PLAN PROV#
Wisconsin MEDICAID 33720300 DEAN HEALTH PLAN PROV#

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