Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD00037099 | WA |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD00037099 | WA |
NPI | 1144220609 |
---|---|
Provider Name | Mr. Eric A Sohn |
First Address | Spokane, WA 99208-6507 |
Second Address | Spokane, WA 99208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 21/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8249740 | (05) | WA |
G39873 | (02) |