Sortor, John P
Sortor, John P is an sole proprietor health care provider with primary practice located at 684 Medical Center Dr E Ste 104 , Clovis CA 93611-6806. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sortor, John P can be contacted via phone (559) 299-7840.Contact Information
Primary practice address
684 Medical Center Dr E Ste 104
Clovis CA 93611-6806
Phone: (559) 299-7840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 5949 TPA | California |
Profile Details
| NPI number | 1205802758 |
|---|---|
| LBN Legal business name | Sortor, John P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Apr 16th, 2008 - about 18 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 | 1205802758 | NPPES |
| California | MEDICAID | SD0059490 |
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