Provider Demographics
NPI:1730138066
Name:SORENSEN, CHRISTIAN FINN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:FINN
Last Name:SORENSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:601 STONEMARKER RD
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6673
Mailing Address - Country:US
Mailing Address - Phone:610-247-9270
Mailing Address - Fax:828-428-8226
Practice Address - Street 1:544 BRAWLEY SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9392
Practice Address - Country:US
Practice Address - Phone:704-360-5190
Practice Address - Fax:252-537-6851
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201001850207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2077422OtherMEDICARE PTAN
NC2010-01850OtherLICENSE
NC5917099Medicaid
NC2077422OtherMEDICARE PTAN