Sorensen, Gavin

Sorensen, Gavin is an individual health care provider with primary practice located at 2230 33Rd St Ste 8 , Spirit Lake IA 51360-7632. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Sorensen, Gavin can be contacted via phone (712) 336-4327.

Contact Information

Primary practice address
2230 33Rd St Ste 8 Spirit Lake IA 51360-7632
Phone: (712) 336-4327
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X Iowa

Profile Details

NPI number 1720454705
LBN Legal business name Sorensen, Gavin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2015
Last updated Aug 13th, 2015 - about 10 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 1720454705 NPPES
Iowa MEDICAID 1689015091

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