Sorensen, Steven Tyler

Sorensen, Steven Tyler is an individual health care provider with primary practice located at 6622 Gordon Rd Ste L , Wilmington NC 28411-8415. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is his primary health care specialty. Sorensen, Steven Tyler can be contacted via phone (910) 407-7211.

Contact Information

Primary practice address
6622 Gordon Rd Ste L Wilmington NC 28411-8415
Phone: (910) 407-7211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 13386 North Carolina

Profile Details

NPI number 1952869059
LBN Legal business name Sorensen, Steven Tyler
Credentials MOT/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2019
Last updated Jun 30th, 2024 - about 6 months 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 1952869059 NPPES
North Carolina MEDICAID 1952869059

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