Provider Demographics
NPI:1952368367
Name:SORBERA, STEVEN RAYMOND (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RAYMOND
Last Name:SORBERA
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 1:1962 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-8384
Mailing Address - Country:US
Mailing Address - Phone:814-693-3730
Mailing Address - Fax:814-693-2160
Practice Address - Street 1:1962 PLANK RD
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-8384
Practice Address - Country:US
Practice Address - Phone:814-693-3730
Practice Address - Fax:814-693-2160
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007290L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA975685OtherBLUE CROSS BLUE SHIELD
PA212547OtherUPMC
PA0017058600006Medicaid
PA876048OtherBLUE CROSS BLUE SHIELD
PA975685OtherBLUE CROSS BLUE SHIELD