Heinrich, Lori A
Heinrich, Lori A is an individual health care provider with primary practice located at 10303 N Port Washington Rd Suite 101, Mequon WI 53092-5760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Heinrich, Lori A can be contacted via phone (262) 240-0440.Contact Information
Primary practice address
10303 N Port Washington Rd Suite 101
Mequon WI 53092-5760
Phone: (262) 240-0440
Fax: (262) 240-0441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 29744-020 | Wisconsin |
Profile Details
NPI number | 1184719288 |
---|---|
LBN Legal business name | Heinrich, Lori A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Jul 19th, 2007 - about 17 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 | 1184719288 | NPPES |
Wisconsin | MEDICAID | 31824000 |
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