Sorg, Timothy Bruce

Sorg, Timothy Bruce is an sole proprietor health care provider with primary practice located at 9000 N Main St , Dayton OH 45415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Sorg, Timothy Bruce can be contacted via phone (937) 279-5803.

Contact Information

Primary practice address
9000 N Main St Dayton OH 45415
Phone: (937) 279-5803
Fax: (937) 279-5803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301511126 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301511126 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35053064 Ohio

Profile Details

NPI number 1467441873
LBN Legal business name Sorg, Timothy Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Jun 18th, 2024 - about 2 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 1467441873 NPPES
Ohio MEDICAID 0833674

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