Andrew Sorenson, MS, ATC, LAT
Individual provider Active NPI Athletic Trainer · Wingate, NC
NPI 1124547484 · NPPES record last updated Sep 18, 2017
Key facts
- NPI
- 1124547484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- LAT-3592 (NC)
- Practice address
- 224 E Wilson St
Wingate, NC 28174 - Phone
- (704) 233-8165
- NPI assigned
- Sep 18, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-3592 | NC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-3592 | NC | Yes |
Addresses
Primary practice location
224 E Wilson St
Wingate, NC 28174
Mailing address
220 N Camden Rd # 5002
Wingate, NC 28174-9644
Other providers in Wingate, NC
- Stephen Tyler Shultz
- Timothy Singleton
- Sean Smith
- Social Butterflies Care
- Social Butterfly Community Care
- Rashonda Lakeisha Sturdivant
- Tara Talley
- Christen Thompson Stiggers
- Mallory R Thompson
- Union County Residential Services, Inc.
All providers in Wingate, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.