GARY SOHN NPI 1114073038

NPI Information

NPI: 1114073038
Provider Name: GARY SOHN
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
318 W MAIN ST
NORWICH, CT
ZIP 06360
Phone: (860) 889-8785
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Gary Sohn is an orthotic fitter in Norwich, CT. The provider is an individual trained in the management of fitting prefabricated orthoses. Gary Sohn NPI is 1114073038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

318 W MAIN ST
NORWICH, CT
ZIP 06360-413
Phone: (860) 889-8785
Fax: (860) 889-7474

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OR4680	OTHER	CONNECTICUT	HEALTHNET
2	1139710001	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
3	004015699-00	OTHER	CONNECTICUT	BLUCARE FAMILY PLAN
4	12DME0121CT01	OTHER	CONNECTICUT	ANTHEM BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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