Individual
JUSTIN PAUL SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM, R. EEG T.
Contact information
Practice address
24 S WEBER ST STE 200, COLORADO SPRINGS, CO 80903-1928
(866) 226-8576
Mailing address
811 S CARROLL ST, SLATER, IA 50244-9705
(515) 520-1608
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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