| Mr Larry J Sokolic, MD | |
|
22 Hatford St, Houlton, ME 04730-1891 | |
| (218) 463-1365 | |
| (218) 463-4712 |
| Full Name | Mr Larry J Sokolic |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 22 Hatford St, Houlton, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265559785 | NPI | - | NPPES |
| MA063626 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA063626 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | 56427 (Minnesota) | Primary |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760494330 PECOS PAC ID: 1355251604 Enrollment ID: O20031110000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry J Sokolic, MD 22 Hatford St, Houlton, ME 04730-1891 Ph: (218) 463-1365 | Mr Larry J Sokolic, MD 22 Hatford St, Houlton, ME 04730-1891 Ph: (218) 463-1365 |
Stephen M Raph, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Jon C Older, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Hassan E Abouleish, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Sigrid E Tompkins Health Center, Houlton, ME 04730 Phone: 207-532-4068 Fax: 207-532-5974 | |
Claude Boma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford Street, Houlton, ME 04730 Phone: 207-532-9002 | |
Thomas J. Ryan, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-5974 | |
Dr. Owen Osarenkhoe Igbinosa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Hartford Street, Houlton, ME 04730 Phone: 207-532-2900 Fax: 207-532-7057 |