Sorensen, John Christian

Sorensen, John Christian is an individual health care provider with primary practice located at 425 Huehl Rd , Northbrook IL 60062-2319. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sorensen, John Christian can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
425 Huehl Rd Northbrook IL 60062-2319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P1352 Texas

Profile Details

NPI number 1649267311
LBN Legal business name Sorensen, John Christian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Jan 25th, 2016 - about 9 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 1649267311 NPPES
Texas Other 8104M6 BLUE CROSS BLUE SHIELD
Texas MEDICAID 081896501 BLUE CROSS BLUE SHIELD
Texas MEDICAID 121550108 BLUE CROSS BLUE SHIELD
Texas Other P01571984 BLUE CROSS BLUE SHIELD
Texas MEDICAID F000357E7 BLUE CROSS BLUE SHIELD

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