Provider Demographics
NPI:1679675706
Name:SOROTA & SOROTA CHIROPRACTIC OFFICE, P.S.C.
Entity Type:Organization
Organization Name:SOROTA & SOROTA CHIROPRACTIC OFFICE, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SOROTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-458-2365
Mailing Address - Street 1:2520 HIKES LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-1468
Mailing Address - Country:US
Mailing Address - Phone:502-458-2365
Mailing Address - Fax:
Practice Address - Street 1:2520 HIKES LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-1468
Practice Address - Country:US
Practice Address - Phone:502-458-2365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3491R111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0005Medicare PIN