Soto, Nicole Marie

Soto, Nicole Marie is an individual health care provider with primary practice located at 2830 N Washington St , Bismarck ND 58503-1482. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Soto, Nicole Marie can be contacted via phone (701) 323-6400.

Contact Information

Primary practice address
2830 N Washington St Bismarck ND 58503-1482
Phone: (701) 323-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD56521 Tennessee
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PT16859 North Dakota

Profile Details

NPI number 1952383226
LBN Legal business name Soto, Nicole Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Apr 4th, 2022 - about 2 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 1952383226 NPPES
Tennessee MEDICAID Q031724
Tennessee MEDICAID FS1061150
Tennessee MEDICAID 1574538

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