JENNIFER E SORENSON (NPI# 1134235682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134235682 |
| Entity Type | Individual |
| Full Name | JENNIFER E SORENSON |
| Credential | PA |
| Practice Address |
16812 S Main St Galesville WI 54630 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6085822025 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
691 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42967100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871813907 | Jennifer Marie Sorenson | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2010-06-11 |
| Street Address |
16812 S MAIN ST |
| City | GALESVILLE |
| State | WI |
| Zip Code | 54630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356323950 | Christopher E Petersen | Physician Assistant | 16812 S Main St, Galesville, WI 54630-7704 | 2005-11-18 |
| 1134693161 | Gerald Francis Jennings | Pharmacist | 16812 S Main St, Galesville, WI 54630-7704 | 2019-01-12 |
| 1083964969 | Gundersen Clinic, Ltd | Clinic/Center | 16812 S Main St, Galesville, WI 54630 | 2012-09-18 |
| 1346524923 | Leslie Ann Atkinson | Pharmacist | 16812 S Main St, Galesville, WI 54630-7704 | 2011-09-30 |
| 1801873112 | Pharmacare Ltd | Durable Medical Equipment & Medical Supplies | 16812 S Main St, Galesville, WI 54630-7704 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174505770 | Lillian J Nordin | Nurse Practitioner | 16812 S Main Street, Galesville, WI 54630 | 2005-11-18 |
| 1669597928 | Galen Roy Koxlien | Dentist | 19815 East Gale Ave, Galesville, WI 54630-0715 | 2007-03-19 |
| 1750374609 | Bethany St. Joseph Corporation | Skilled Nursing Facility | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2005-08-25 |
| 1851958508 | Kelly Wolf | Physical Therapy Assistant | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2019-05-28 |
| 1063698298 | Molly Mae Flynn | Chiropractor | 16853 S 1st St, Galesville, WI 54630-7191 | 2008-01-17 |
| 1881790202 | Joseph J Antonie | Chiropractor | 16812 S 2nd St, Ste 120, Galesville, WI 54630-7295 | 2006-09-15 |
| 1184971095 | Garet R Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2012-08-09 |
| 1750739082 | Alisha Kay Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2016-05-26 |
| 1275939308 | Galesville Chiropractic LLC | Chiropractor | 16812 S 2nd St, Suite 120, Galesville, WI 54630-7320 | 2014-11-17 |
| 1407291917 | Galesville Ltc Pharmay LLC | Pharmacy | 16814 S Main St, Galesville, WI 54630-7704 | 2013-05-10 |
| Find all providers in zip 54630 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| Find all providers with the same taxonomy | ||||
| City | GALESVILLE |
| Zip Code | 54630 |
Please comment or provide details below to improve the information on JENNIFER E SORENSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.