Sobrin, Jack J
Sobrin, Jack J is an sole proprietor health care provider with primary practice located at 1539 Main St Unit D , Pleasant Valley NY 12569-7834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sobrin, Jack J can be contacted via phone (845) 723-4499.Contact Information
Primary practice address
1539 Main St Unit D
Pleasant Valley NY 12569-7834
Phone: (845) 723-4499
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 205611 | New York |
Profile Details
NPI number | 1588662241 |
---|---|
LBN Legal business name | Sobrin, Jack J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2005 |
Last updated | Oct 3rd, 2023 - 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 | 1588662241 | NPPES |
New York | MEDICAID | 01832177 |
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