Individual
MR. JOEL SOBECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 W 4TH ST, SUITE 100, FOSTORIA, OH 44830-1849
(419) 436-6680
(419) 436-6681
Mailing address
455 W 4TH ST, SUITE 100, FOSTORIA, OH 44830-1849
(419) 436-6680
(419) 436-6681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.13466-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068742
—
OH
Enumeration date
07/06/2012
Last updated
05/17/2013
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