Soultanakis, Emmanuel Nicholas

Soultanakis, Emmanuel Nicholas is an individual health care provider with primary practice located at 102 Campus Dr , Scarborough ME 04074-9692. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Soultanakis, Emmanuel Nicholas can be contacted via phone (207) 883-0069.

Contact Information

Primary practice address
102 Campus Dr Scarborough ME 04074-9692
Phone: (207) 883-0069
Fax: (207) 883-0999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 042-0010087 Vermont
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 042-0010087 Vermont
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD19505 Maine

Profile Details

NPI number 1659489284
LBN Legal business name Soultanakis, Emmanuel Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 8th, 2013 - about 11 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 1659489284 NPPES
Vermont MEDICAID 0VN2415
Vermont MEDICAID 02118770

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