MEDICARE: KATIE ANN SOKOLSKI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC30847	CA

General Provider Information

NPI Number	:	1740573534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE ANN SOKOLSKI D.C.

Provider Business Mailing Address
First Line	:	187 40TH STREET WAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611
Country	:	US
Telephone Number	:	510-356-7832
Fax Number	:	510-350-8552

Provider Business Practice Location Address
First Line	:	187 40TH ST WAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-5210
Country	:	US
Telephone Number	:	510-356-7832
Fax Number	:	510-350-8552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2011
Last Update Date	:	04/15/2021

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