Sorensen, Greg

Sorensen, Greg is an individual health care provider with primary practice located at 1845 Haines Ave , Rapid City SD 57701-0663. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sorensen, Greg can be contacted via phone (605) 342-1157.

Contact Information

Primary practice address
1845 Haines Ave Rapid City SD 57701-0663
Phone: (605) 342-1157
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 518 South Dakota

Profile Details

NPI number 1699728766
LBN Legal business name Sorensen, Greg
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699728766 NPPES
South Dakota MEDICAID 9200210

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