Individual provider · Type 1 NPI

Justin Soforic

Student in an Organized Health Care Education/Training Program · Indiana, PA

NPI number 1114850179 Active

Practice location

1011 South Dr
Indiana, PA 15705-1046

Call (724) 357-2100 Map

Mailing address

1104 Sycamore St
Connellsville, PA 15425-4727

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114850179

Justin Soforic's National Provider Identifier is 1114850179, issued on Jun 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indiana, PA. The record was last updated on Jun 8, 2026.