Sorenson, Christina M
Sorenson, Christina M is an individual health care provider with primary practice located at 6677 W Thunderbird Rd Ste F101 , Glendale AZ 85306-3723. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sorenson, Christina M can be contacted via phone (623) 878-3939.Contact Information
Primary practice address
6677 W Thunderbird Rd Ste F101
Glendale AZ 85306-3723
Phone: (623) 878-3939
Fax: (623) 878-5567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT00755 | Arizona |
Profile Details
| NPI number | 1235111055 |
|---|---|
| LBN Legal business name | Sorenson, Christina M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Nov 24th, 2014 - about 12 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 | 1235111055 | NPPES |
| Arizona | Other | 86080015085259A225 | TRIWEST |
| Arizona | MEDICAID | 162438 | TRIWEST |
| Arizona | Other | 180024067 | TRIWEST |
| Arizona | Other | 86080015085260A006 | TRIWEST |
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