Sorenson, Chad R

Sorenson, Chad R is an sole proprietor health care provider with primary practice located at 2314 Lineville Rd Ste 107 , Green Bay WI 54313-8860. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Sorenson, Chad R can be contacted via phone (920) 434-6800.

Contact Information

Primary practice address
2314 Lineville Rd Ste 107 Green Bay WI 54313-8860
Phone: (920) 434-6800
Fax: (920) 434-7084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1305-60 Wisconsin

Profile Details

NPI number 1023266715
LBN Legal business name Sorenson, Chad R
Credentials HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2008
Last updated Jul 21st, 2022 - about 3 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 1023266715 NPPES
Wisconsin MEDICAID 42840600

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