Lorenz, Kathleen Suzanne

Lorenz, Kathleen Suzanne is an individual health care provider with primary practice located at 207 W Washington St , Boise ID 83702-5989. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Lorenz, Kathleen Suzanne can be contacted via phone (208) 343-2079.

Contact Information

Primary practice address
207 W Washington St Boise ID 83702-5989
Fax: (208) 343-6828
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MID-40 Idaho

Profile Details

NPI number 1649547886
LBN Legal business name Lorenz, Kathleen Suzanne
Credentials Licensed Midwife (LM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Nov 16th, 2011 - about 14 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 1649547886 NPPES
Idaho Other MID-40 BUREAU OF CCCUPATIONAL LICENSES

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