Soto-Pesante, Edwin Antonio

Soto-Pesante, Edwin Antonio is an individual health care provider with primary practice located at 2463 S. M-30 , West Branch MI 48661. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Soto-Pesante, Edwin Antonio can be contacted via phone (989) 345-3660.

Contact Information

Primary practice address
2463 S. M-30 West Branch MI 48661
Phone: (989) 345-3660
Fax: (989) 343-1791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 4301075330 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301075330 Michigan

Profile Details

NPI number 1477581452
LBN Legal business name Soto-Pesante, Edwin Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 11th, 2008 - about 17 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 1477581452 NPPES
Michigan MEDICAID 4248961

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