Sordahl, Scott Adam
Sordahl, Scott Adam is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sordahl, Scott Adam can be contacted via phone (715) 236-8100.Contact Information
Primary practice address
1700 W Stout St
Rice Lake WI 54868-5000
Phone: (715) 236-8100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 71984 | Wisconsin |
Profile Details
| NPI number | 1285127837 |
|---|---|
| LBN Legal business name | Sordahl, Scott Adam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2018 |
| Last updated | Dec 21st, 2021 - about 5 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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