Sorensen, Kevin Courtney

Sorensen, Kevin Courtney is an individual health care provider with primary practice located at 44000 W 12 Mile Rd Suite111, Novi MI 48377-2644. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Sorensen, Kevin Courtney can be contacted via phone (248) 347-8233.

Contact Information

Primary practice address
44000 W 12 Mile Rd Suite111 Novi MI 48377-2644
Phone: (248) 347-8233
Fax: (248) 347-8174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36.003379 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002082 Michigan

Profile Details

NPI number 1710986047
LBN Legal business name Sorensen, Kevin Courtney
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 28th, 2017 - about 8 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 1710986047 NPPES
Ohio Other 04618 PARAMOUNT
Ohio Other 000000340879 PARAMOUNT
Ohio MEDICAID 2490193 PARAMOUNT

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