Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 23650 | NE |
NPI | 1033158449 |
---|---|
Provider Name | Dr. Caroline Erica Sorenson |
First Address | North Platte, NE 69101-5587 |
Second Address | North Platte, NE 69101-5587 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 16/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00664 | BLUE CROSS/BLUE SHIELD NE (01) | NE |
10025398700 | (05) | NE |
251278 | MIDLANDS CHOICE (01) | NE |
I55301 | (02) | NE |
P00332091 | RAILROAD MEDICARE (01) | NE |