Provider Demographics
NPI:1265150114
Name:SORRELL NEUROLOGY SERVICES INC.
Entity type:Organization
Organization Name:SORRELL NEUROLOGY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-737-4100
Mailing Address - Street 1:299 CAREW ST STE 323
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2431
Mailing Address - Country:US
Mailing Address - Phone:413-737-4100
Mailing Address - Fax:413-737-4200
Practice Address - Street 1:299 CAREW ST STE 323
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2431
Practice Address - Country:US
Practice Address - Phone:413-737-4100
Practice Address - Fax:413-737-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty