Cerva-Bucholz, Lorri Jan

Cerva-Bucholz, Lorri Jan is an individual health care provider with primary practice located at 19636 N 27Th Avenue Suite 106, Phoenix AZ 85027. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Other Service Providers / Specialist is her primary health care specialty. Cerva-Bucholz, Lorri Jan can be contacted via phone (623) 516-8252.

Contact Information

Primary practice address
19636 N 27Th Avenue Suite 106 Phoenix AZ 85027
Phone: (623) 516-8252
Fax: (623) 516-8253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4313 Arizona
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4313 Arizona

Profile Details

NPI number 1427141845
LBN Legal business name Cerva-Bucholz, Lorri Jan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Jul 24th, 2014 - about 10 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 1427141845 NPPES
Arizona Other 4313 STATE LICENSE
Arizona MEDICAID 974528 STATE LICENSE

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