Sorg, Amy Elizabeth

Sorg, Amy Elizabeth is an individual health care provider with primary practice located at 2403 Marylane Dr , Rogers AR 72756-6702. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sorg, Amy Elizabeth can be contacted via phone (479) 936-1381.

Contact Information

Primary practice address
2403 Marylane Dr Rogers AR 72756-6702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1646 Arkansas

Profile Details

NPI number 1558574194
LBN Legal business name Sorg, Amy Elizabeth
Credentials MCD CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Oct 4th, 2010 - about 14 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 1558574194 NPPES
Arkansas Other 99999 BLUE CROSS BLUE SHIELD
Arkansas MEDICAID 146974721 BLUE CROSS BLUE SHIELD
Arkansas Other 999999999 BLUE CROSS BLUE SHIELD

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