Sorey, Tina Renee
Sorey, Tina Renee is an individual health care provider with primary practice located at 1501 Lakeland Dr Suite 100, Jackson MS 39216-4834. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sorey, Tina Renee can be contacted via phone (601) 366-1085.Contact Information
Primary practice address
1501 Lakeland Dr Suite 100
Jackson MS 39216-4834
Phone: (601) 366-1085
Fax: (601) 366-5186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 637 | Mississippi |
Profile Details
| NPI number | 1245213081 |
|---|---|
| LBN Legal business name | Sorey, Tina Renee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Nov 28th, 2012 - about 14 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 | 1245213081 | NPPES |
| Mississippi | MEDICAID | 09015291 |
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