Provider Demographics
NPI:1184180846
Name:SORENSEN, JAMES E (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:SORENSEN
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 1:225 E BRIAN ST
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-3137
Mailing Address - Country:US
Mailing Address - Phone:817-502-3494
Mailing Address - Fax:
Practice Address - Street 1:3095 BURLESON RETTA RD
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7965
Practice Address - Country:US
Practice Address - Phone:817-502-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor