Sorensen, Eric Leonard

Sorensen, Eric Leonard is an individual health care provider with primary practice located at 412 N 200 E , Logan UT 84321-4038. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Sorensen, Eric Leonard can be contacted via phone (435) 713-2777.

Contact Information

Primary practice address
412 N 200 E Logan UT 84321-4038
Phone: (435) 713-2777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024167553 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9308320 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5662905-4405 Utah

Profile Details

NPI number 1497945091
LBN Legal business name Sorensen, Eric Leonard
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Nov 3rd, 2022 - about 2 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 1497945091 NPPES
Florida MEDICAID 002499500
Florida Other DQ733Z
Florida MEDICAID 1497945091

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