Provider Demographics
NPI:1710988316
Name:SOSKEL, NORMAN TERRY (MD, FACP, FCCP)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:TERRY
Last Name:SOSKEL
Suffix:
Gender:M
Credentials:MD, FACP, FCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 38505
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-0505
Mailing Address - Country:US
Mailing Address - Phone:901-761-5877
Mailing Address - Fax:901-761-2280
Practice Address - Street 1:6005 PARK AVE
Practice Address - Street 2:SUITE 501
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5202
Practice Address - Country:US
Practice Address - Phone:901-761-5877
Practice Address - Fax:901-761-2280
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15687174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN303941Medicare ID - Type Unspecified
TNA99473Medicare UPIN