Sorensen, Michael J
Sorensen, Michael J is an individual health care provider with primary practice located at 1223 Willow Creek Rd , Prescott AZ 86301-1427. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Sorensen, Michael J can be contacted via phone (928) 777-9950.Contact Information
Primary practice address
1223 Willow Creek Rd
Prescott AZ 86301-1427
Phone: (928) 777-9950
Fax: (928) 777-9975
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 60457 | Arizona |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 60457 | Arizona |
Profile Details
NPI number | 1396748331 |
---|---|
LBN Legal business name | Sorensen, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Jun 30th, 2022 - about 2 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 | 1396748331 | NPPES |
Tennessee | MEDICAID | 3371161 | |
Tennessee | MEDICAID | 3825983 | |
Tennessee | Other | 620819926 | |
Tennessee | Other | 620819926 | |
Tennessee | Other | 12608 | |
Tennessee | MEDICAID | 135333001 | |
Tennessee | Other | 250009146 | |
Tennessee | Other | 620819926 | |
Tennessee | Other | 1255827 | |
Tennessee | Other | 3091702 | |
Tennessee | MEDICAID | 000120000 | |
Tennessee | Other | 620819926 | |
Tennessee | MEDICAID | 110318002 | |
Tennessee | Other | 5015681 | |
Tennessee | MEDICAID | 7187860 |
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