| Doctor Name: | JONATHAN ROBERT SORINI |
| NPI Number: | 1417120098 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | L1152636 |
| Business Practice Address: | 18101 Oakwood Blvd Emergency Dept Dearborn, MI - 481244089 |
| Business Phone Number: | 3135938780 |
| Business Fax Number: | 3134362864 |
| Mailing Address: | 38935 Ann Arbor Rd, Credentialing Dept LIVONIA |
| State: | MI |
| Postal Code: | 481503397 |
| Phone Number: | 7346320175 |
| Fax Number: | 7346320182 |
| NPI Enumeration Date: | 04/04/2008 |
| NPI Last Update Date: | 07/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L1152636 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |