Provider Demographics
NPI:1235604919
Name:SOCHANSKA, ADA NATALIA (PA)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:NATALIA
Last Name:SOCHANSKA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LEFEVER LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-3304
Mailing Address - Country:US
Mailing Address - Phone:847-287-1822
Mailing Address - Fax:
Practice Address - Street 1:3500 SPRINGHILL DR STE 200B
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2948
Practice Address - Country:US
Practice Address - Phone:501-503-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-812363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant