Sorg, Jason K

Sorg, Jason K is an individual health care provider with primary practice located at 7120 Clearvista Dr Suite 1500, Indianapolis IN 46256-1621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Sorg, Jason K can be contacted via phone (317) 621-9292.

Contact Information

Primary practice address
7120 Clearvista Dr Suite 1500 Indianapolis IN 46256-1621
Phone: (317) 621-9292
Fax: (317) 621-9299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01061869A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 01061869A Indiana

Profile Details

NPI number 1093932055
LBN Legal business name Sorg, Jason K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Nov 27th, 2023 - 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 1093932055 NPPES
Indiana Other 453271 WELLCARE
Indiana Other 9705140 WELLCARE
Indiana Other 000000555974 WELLCARE
Indiana MEDICAID 20090050 WELLCARE
Indiana Other P01292382 WELLCARE

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