Sorlie, Mandy Lea

Sorlie, Mandy Lea is an individual health care provider with primary practice located at 904 5Th Ave Ne , Jamestown ND 58401-3437. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sorlie, Mandy Lea can be contacted via phone (701) 253-4020.

Contact Information

Primary practice address
904 5Th Ave Ne Jamestown ND 58401-3437
Phone: (701) 253-4020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11013734A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11582 North Dakota

Profile Details

NPI number 1649478090
LBN Legal business name Sorlie, Mandy Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated May 7th, 2012 - about 12 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 1649478090 NPPES
Indiana Other 11013734A MEDICAL RESIDENCY PERMIT

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