Sorum, Paul Clay

Sorum, Paul Clay is an individual health care provider with primary practice located at 724 Watervliet Shaker Rd , Latham NY 12110-3528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sorum, Paul Clay can be contacted via phone (518) 783-0312.

Contact Information

Primary practice address
724 Watervliet Shaker Rd Latham NY 12110-3528
Phone: (518) 783-0312
Fax: (518) 782-7485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 157754-1 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 157754-1 New York

Profile Details

NPI number 1649266941
LBN Legal business name Sorum, Paul Clay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649266941 NPPES
New York MEDICAID 00894486

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