Individual
DR. JACOB ROBERT SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2301 ERWIN ROAD 3RD FLOOR, DURHAM, NC 27710-1110
(919) 668-4000
Mailing address
1649 S COKESBURY RD, HENDERSON, NC 27537-8033
(954) 604-2129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.080420
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
06/09/2025
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