Sorensen, Eric Kristen
Sorensen, Eric Kristen is an individual health care provider with primary practice located at 405 Lake Shore Dr E , Ashland WI 54806-1837. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Sorensen, Eric Kristen can be contacted via phone (705) 682-3523.Contact Information
Primary practice address
405 Lake Shore Dr E
Ashland WI 54806-1837
Phone: (705) 682-3523
Fax: (715) 682-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3460 - 125 | Wisconsin |
Profile Details
| NPI number | 1699810457 |
|---|---|
| LBN Legal business name | Sorensen, Eric Kristen |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699810457 | NPPES |
| Wisconsin | MEDICAID | 43597800 |
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