Lorenzo, Mark Allan P
Lorenzo, Mark Allan P is an sole proprietor health care provider with primary practice located at 3821 Dewey St , Manitowoc WI 54220-5482. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lorenzo, Mark Allan P can be contacted via phone (920) 682-7585.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9923-024 | Wisconsin |
Profile Details
| NPI number | 1366617623 |
|---|---|
| LBN Legal business name | Lorenzo, Mark Allan P |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | May 7th, 2024 - about last year |
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 | 1366617623 | NPPES |
| Wisconsin | MEDICAID | 40382100 |
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