Doctor Name: | KRIS S. SORNBERGER |
NPI Number: | 1245268945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 1872 |
Business Practice Address: | 735 Wilson St Brewer, ME - 04412 |
Business Phone Number: | 2079470768 |
Business Fax Number: | 2079470699 |
Mailing Address: | Po Box 1599, BANGOR |
State: | ME |
Postal Code: | 044021599 |
Phone Number: | 2079455247 |
Fax Number: | 2079470435 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 1872 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |