Catherine S Sorrel I

Individual provider Active NPI Prosthetist · Macks Creek, MO

NPI 1548348451 · NPPES record last updated Oct 14, 2008

Key facts

NPI
1548348451
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetist 224P00000X
Practice address
41 State Road O Apt 1a
Macks Creek, MO 65786-9500
Phone
(573) 363-9950
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X Yes

Addresses

Primary practice location

41 State Road O Apt 1a
Macks Creek, MO 65786-9500

Mailing address

838 Skinner Dr
Macks Creek, MO 65786-7212
Phone (573) 346-9986

Other providers in Macks Creek, MO

All providers in Macks Creek, MO · Prosthetist in Missouri

Sources for this page

Verify at the official NPI Registry.