| Sorrell Neurology Services Inc. | |
|
299 Carew St Ste 323 Springfield MA 01104-2431 | |
| (413) 737-4100 | |
| (413) 737-4200 |
| Full Name | Sorrell Neurology Services Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 299 Carew St Ste 323, Springfield, Massachusetts |
| Authorized Official Name and Position | Michael Sorrell (OWNER) |
| Authorized Official Contact | 4137374100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorrell Neurology Services Inc. 299 Carew St Ste 323 Springfield MA 01104-2431 Ph: (413) 737-4100 | Sorrell Neurology Services Inc. 299 Carew St Ste 323 Springfield MA 01104-2431 Ph: (413) 737-4100 |
| NPI Number | 1265150114 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Medicare PECOS PAC ID | 1658747928 |
|---|---|
| Medicare Enrollment ID | O20221012001941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265150114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Michael R Sorrell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528069887 PECOS PAC ID: 6305829888 Enrollment ID: I20040608000474 |
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