Provider Demographics
NPI:1982778395
Name:SOKOLSKY, RONALD (L AC)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:SOKOLSKY
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10382 RIVA LARGO AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-3508
Mailing Address - Country:US
Mailing Address - Phone:310-902-0574
Mailing Address - Fax:
Practice Address - Street 1:10382 RIVA LARGO AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-6173
Practice Address - Country:US
Practice Address - Phone:310-902-0574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-619171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist