Sobel, Kenneth Jay

Sobel, Kenneth Jay is an individual health care provider with primary practice located at 575 Professional Dr Ste 510, Lawrenceville GA 30045-3336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sobel, Kenneth Jay can be contacted via phone (770) 513-2072.

Contact Information

Primary practice address
575 Professional Dr Ste 510 Lawrenceville GA 30045-3336
Phone: (770) 513-2072
Fax: (770) 513-7986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 024099 Georgia

Profile Details

NPI number 1669478830
LBN Legal business name Sobel, Kenneth Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Sep 15th, 2020 - about 4 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 1669478830 NPPES
Georgia Other 110064877 PALMETTO
Georgia Other 581854158001 PALMETTO
Georgia Other 581854158 PALMETTO
Georgia MEDICAID 000435949B PALMETTO
Georgia Other E00581854158 PALMETTO
Georgia Other 52067326 PALMETTO

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