Doctor Name: | MAUREEN A SOCHA |
NPI Number: | 1821032111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 71000352A |
Business Practice Address: | 101 N Grant St Cayuga, IN - 479288208 |
Business Phone Number: | 7654923316 |
Business Fax Number: | 7654923370 |
Mailing Address: | Po Box 266, CLINTON |
State: | IN |
Postal Code: | 478420266 |
Phone Number: | 7658329301 |
Fax Number: | 7658329302 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 71000352A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |