Soriano, Clinton Reyes

Soriano, Clinton Reyes is an individual health care provider with primary practice located at 1901 S Hawthorne Rd Suite 340, Winston Salem NC 27103-3921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Soriano, Clinton Reyes can be contacted via phone (336) 765-6277.

Contact Information

Primary practice address
1901 S Hawthorne Rd Suite 340 Winston Salem NC 27103-3921
Fax: (336) 659-0449
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22056 North Carolina

Profile Details

NPI number 1972560498
LBN Legal business name Soriano, Clinton Reyes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972560498 NPPES
Other 4136089 AETNA
MEDICAID 8978420 AETNA

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