Provider Demographics
NPI:1134109424
Name:SORIENTE, ANTHONY A (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:A
Last Name:SORIENTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1686
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-1686
Mailing Address - Country:US
Mailing Address - Phone:603-447-2244
Mailing Address - Fax:603-687-0107
Practice Address - Street 1:24 PLEASANT STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818
Practice Address - Country:US
Practice Address - Phone:603-447-2244
Practice Address - Fax:603-687-0107
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH836-0309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH001352401Medicare PIN
U97746Medicare UPIN