Provider Demographics
NPI:1760177240
Name:SOJKA, ANGELIKA JULIA
Entity Type:Individual
Prefix:
First Name:ANGELIKA
Middle Name:JULIA
Last Name:SOJKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 UPLAND DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-1267
Mailing Address - Country:US
Mailing Address - Phone:708-465-2401
Mailing Address - Fax:
Practice Address - Street 1:1231 UPLAND DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-1267
Practice Address - Country:US
Practice Address - Phone:708-465-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician