Provider Demographics
NPI:1033126669
Name:SOHL, ROCHELLE A (MD)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:A
Last Name:SOHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:S
Other - Last Name:WAITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2090 WAGONMOUND TRL
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-8033
Mailing Address - Country:US
Mailing Address - Phone:575-640-0936
Mailing Address - Fax:575-708-7935
Practice Address - Street 1:W180N8085 TOWN HALL RD
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-3518
Practice Address - Country:US
Practice Address - Phone:262-251-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7132207V00000X
NM90-294207V00000X
WI67826-20207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM273505YRNDOtherMEDICARE
NM94329061Medicaid
TX8L19746Medicare PIN
TX8L19746Medicare PIN