Sorensen, Russell Lamar

Sorensen, Russell Lamar is an sole proprietor health care provider with primary practice located at 9844 S 1300 E Ste 250, Sandy UT 84094-4691. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Sorensen, Russell Lamar can be contacted via phone (801) 571-1552.

Contact Information

Primary practice address
9844 S 1300 E Ste 250 Sandy UT 84094-4691
Phone: (801) 571-1552
Fax: (801) 571-1562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 1638911205 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 1638911205 Utah

Profile Details

NPI number 1942202106
LBN Legal business name Sorensen, Russell Lamar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - about 19 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 1942202106 NPPES
Utah Other 1638911205 STATE LICENSE

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