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Contact Information

JENNIFER E SORENSON, PA
16812 S MAIN ST
GALESVILLE, WI54630
 Phone: 608-582-2025
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER E SORENSON · (Female)

NPI # 1134235682
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/21/2006
Last updated 09/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 691
  • WI Medicaid 42967100
Hospital affiliation(s)
  • GUNDERSEN LUTH MED CTR - (Acute Care)
    1910 SOUTH AVE
    LA CROSSE, WI 54601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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