Provider Demographics
NPI:1740573534
Name:SOKOLSKI, KATIE ANN (DC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:SOKOLSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 40TH STREET WAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611
Mailing Address - Country:US
Mailing Address - Phone:510-356-7832
Mailing Address - Fax:510-350-8552
Practice Address - Street 1:187 40TH ST WAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5210
Practice Address - Country:US
Practice Address - Phone:510-356-7832
Practice Address - Fax:510-350-8552
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor