Sorum, Paul Clay
Sorum, Paul Clay is an individual health care provider with primary practice located at 724 Watervliet Shaker Rd , Latham NY 12110-3528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sorum, Paul Clay can be contacted via phone (518) 783-0312.Contact Information
Primary practice address
724 Watervliet Shaker Rd
Latham NY 12110-3528
Phone: (518) 783-0312
Fax: (518) 782-7485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 157754-1 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 157754-1 | New York |
Profile Details
| NPI number | 1649266941 |
|---|---|
| LBN Legal business name | Sorum, Paul Clay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649266941 | NPPES |
| New York | MEDICAID | 00894486 |
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