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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 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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