Provider Demographics
NPI:1447463401
Name:SORREL, MARGARET ANN (DO)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:SORREL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 1312
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-1312
Mailing Address - Country:US
Mailing Address - Phone:360-341-4221
Mailing Address - Fax:
Practice Address - Street 1:1638 MAIN ST.
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-1312
Practice Address - Country:US
Practice Address - Phone:360-341-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP 000802204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAD33698Medicare UPIN