Dorn, Lorie S

Dorn, Lorie S is an individual health care provider with primary practice located at 923 Eliza St , Green Bay WI 54301-3234. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Dorn, Lorie S can be contacted via phone (920) 965-4800.

Contact Information

Primary practice address
923 Eliza St Green Bay WI 54301-3234
Fax: (920) 431-7024
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 411-156 Wisconsin

Profile Details

NPI number 1750424883
LBN Legal business name Dorn, Lorie S
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Feb 25th, 2016 - about 8 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 1750424883 NPPES
Wisconsin Other 507105 MEDICARE PTAN
Wisconsin MEDICAID 41144000 MEDICARE PTAN

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