Sortor, John P

Sortor, John P is an sole proprietor health care provider with primary practice located at 684 Medical Center Dr E Ste 104 , Clovis CA 93611-6806. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sortor, John P can be contacted via phone (559) 299-7840.

Contact Information

Primary practice address
684 Medical Center Dr E Ste 104 Clovis CA 93611-6806
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 5949 TPA California

Profile Details

NPI number 1205802758
LBN Legal business name Sortor, John P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Apr 16th, 2008 - about 17 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 1205802758 NPPES
California MEDICAID SD0059490

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