Sorensen, Russell Lamar
Sorensen, Russell Lamar is an sole proprietor health care provider with primary practice located at 9844 S 1300 E Ste 250, Sandy UT 84094-4691. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sorensen, Russell Lamar can be contacted via phone (801) 571-1552.Contact Information
Primary practice address
9844 S 1300 E Ste 250
Sandy UT 84094-4691
Phone: (801) 571-1552
Fax: (801) 571-1562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 1638911205 | Utah |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 1638911205 | Utah |
Profile Details
| NPI number | 1942202106 |
|---|---|
| LBN Legal business name | Sorensen, Russell Lamar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1942202106 | NPPES |
| Utah | Other | 1638911205 | STATE LICENSE |
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