Soto Interiano, Eduardo Fernando

Soto Interiano, Eduardo Fernando is an individual health care provider with primary practice located at 41 Monarch Blvd , Hattiesburg MS 39402-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Soto Interiano, Eduardo Fernando can be contacted via phone (612) 707-2008.

Contact Information

Primary practice address
41 Monarch Blvd Hattiesburg MS 39402-7200
Phone: (612) 707-2008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 24822 Mississippi

Profile Details

NPI number 1639433725
LBN Legal business name Soto Interiano, Eduardo Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2012
Last updated Aug 6th, 2021 - about 3 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 1639433725 NPPES
Mississippi MEDICAID 03827532

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