Provider Demographics
NPI:1841707684
Name:SOHL FOOT & ANKLE
Entity type:Organization
Organization Name:SOHL FOOT & ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:SOHL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:267-699-3839
Mailing Address - Street 1:86 BUCK RD STE 2
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1741
Mailing Address - Country:US
Mailing Address - Phone:267-699-3839
Mailing Address - Fax:267-699-3906
Practice Address - Street 1:86 BUCK RD STE 2
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-1741
Practice Address - Country:US
Practice Address - Phone:267-699-3839
Practice Address - Fax:267-699-3906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006083213ES0000X, 213ES0131X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Single Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty