Provider Demographics
NPI:1336266535
Name:SOHN, SUGKI MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SUGKI
Middle Name:MICHAEL
Last Name:SOHN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 S. HAVANA ST. UNIT M
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012
Mailing Address - Country:US
Mailing Address - Phone:303-695-4760
Mailing Address - Fax:303-695-7960
Practice Address - Street 1:1555 S HAVANA ST UNIT M
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5034
Practice Address - Country:US
Practice Address - Phone:303-695-4760
Practice Address - Fax:303-695-7960
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5220111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor