Lohrberg, James Donald

Lohrberg, James Donald is an individual health care provider with primary practice located at 1104 North Vermilion Street , Danville IL 61832. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lohrberg, James Donald can be contacted via phone (217) 442-2631.

Contact Information

Primary practice address
1104 North Vermilion Street Danville IL 61832
Phone: (217) 442-2631
Fax: (217) 442-0119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008041 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 18002343A Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18002343B Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18002343A&18002343B Indiana

Profile Details

NPI number 1821013582
LBN Legal business name Lohrberg, James Donald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 10th, 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 1821013582 NPPES
Indiana Other 100314050A MEDICAID
Indiana Other 1269286LOHR MEDICAID
Indiana Other 189575 MEDICAID
Indiana Other 004073 MEDICAID
Indiana Other 180031597 MEDICAID
Indiana MEDICAID 046008041 MEDICAID

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