Healthcare Provider Details

I. General information

NPI: 1053352104
Provider Name (Legal Business Name): PAUL JOSEPH SOBEL M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: P JOSEPH SOBEL MA

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 01/26/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 WINNE AVE
HELENA MT
59601-4917
US

IV. Provider business mailing address

415 W US HIGHWAY 2 STE 2
NORWAY MI
49870-1175
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-8838
  • Fax: 406-443-6367
Mailing address:
  • Phone: 906-563-7005
  • Fax: 906-563-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601000667
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number586-156
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101004159
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3950-154
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3501003307
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: