Stake, Soni Elizabeth

Stake, Soni Elizabeth is an individual health care provider with primary practice located at 100 E 5Th St , Douglas AZ 85607-2859. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Stake, Soni Elizabeth can be contacted via phone (520) 364-7659.

Contact Information

Primary practice address
100 E 5Th St Douglas AZ 85607-2859
Phone: (520) 364-7659
Fax: (520) 364-8541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40468 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 40468 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 40468 Arizona

Profile Details

NPI number 1487844395
LBN Legal business name Stake, Soni Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487844395 NPPES
Arizona MEDICAID 362117

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