Sorensen, Mark Weldon
Sorensen, Mark Weldon is an sole proprietor health care provider with primary practice located at 8101 E Florentine Rd , Prescott Valley AZ 86314-8454. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Sorensen, Mark Weldon can be contacted via phone (928) 775-2545.Contact Information
Primary practice address
8101 E Florentine Rd
Prescott Valley AZ 86314-8454
Phone: (928) 775-2545
Fax: (928) 775-2535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D008900 | Arizona |
Profile Details
| NPI number | 1659690352 |
|---|---|
| LBN Legal business name | Sorensen, Mark Weldon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2010 |
| Last updated | Jul 15th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659690352 | NPPES |
| Arizona | MEDICAID | 917971 |
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