Provider Demographics
NPI:1336126903
Name:SOCHAT, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SOCHAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HOSPITAL ROAD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264
Mailing Address - Country:US
Mailing Address - Phone:603-536-1120
Mailing Address - Fax:603-536-4828
Practice Address - Street 1:16 HOSPITAL ROAD
Practice Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264
Practice Address - Country:US
Practice Address - Phone:603-536-1120
Practice Address - Fax:603-536-4828
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9970207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA79990OtherHARVARD PILGRIM
P00392449OtherRAILROAD MEDICARE
MA3028925Medicaid
376691OtherMVP
000000042684OtherBMC HEALTHNET PLAN
NH0105906Y0NH07OtherANTHEM
NH30200279Medicaid
MA3028925Medicaid
000000042684OtherBMC HEALTHNET PLAN
NH30200279Medicaid