Provider Demographics
NPI:1467048868
Name:SOCHOVKA, PAIGE NICOLE (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:NICOLE
Last Name:SOCHOVKA
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 9 BOX 1897
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09123-0019
Mailing Address - Country:US
Mailing Address - Phone:491-512-0915
Mailing Address - Fax:
Practice Address - Street 1:BRODENHECK STRASSE 18
Practice Address - Street 2:
Practice Address - City:BITBURG
Practice Address - State:RHINELAND PALATINE
Practice Address - Zip Code:54636
Practice Address - Country:DE
Practice Address - Phone:491-512-0915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COL-302312174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN