Soto, Sergio Fernando
Soto, Sergio Fernando is an individual health care provider with primary practice located at 7700 E Florentine Rd Bldg. B Ste 206, Prescott Valley AZ 86314-2245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Soto, Sergio Fernando can be contacted via phone (928) 772-8217.Contact Information
Primary practice address
7700 E Florentine Rd Bldg. B Ste 206
Prescott Valley AZ 86314-2245
Phone: (928) 772-8217
Fax: (928) 442-8932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2003-0507 | New Mexico |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 37164 | Arizona |
Profile Details
| NPI number | 1942204854 |
|---|---|
| LBN Legal business name | Soto, Sergio Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Nov 30th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942204854 | NPPES |
| Arizona | MEDICAID | 226148 | |
| Arizona | MEDICAID | 76485382 | |
| Arizona | Other | WCSKQ |
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