Sorge, David

Sorge, David is an individual health care provider with primary practice located at 1400 Bellinger St , Eau Claire WI 54703-5222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sorge, David can be contacted via phone (715) 838-3635.

Contact Information

Primary practice address
1400 Bellinger St Eau Claire WI 54703-5222
Phone: (715) 838-3635
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 181786-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G86494 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51727 Wisconsin

Profile Details

NPI number 1255319331
LBN Legal business name Sorge, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 21st, 2009 - about 17 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 1255319331 NPPES
Wisconsin MEDICAID 35333000

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