Soria, Loren L
Soria, Loren L is an individual health care provider with primary practice located at 600 N College Ave Suite 120, Geneseo IL 61254-1091. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Soria, Loren L can be contacted via phone (309) 944-5342.Contact Information
Primary practice address
600 N College Ave Suite 120
Geneseo IL 61254-1091
Phone: (309) 944-5342
Fax: (309) 944-8192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036098430 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036098430 | Illinois |
Profile Details
| NPI number | 1700864295 |
|---|---|
| LBN Legal business name | Soria, Loren L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | May 21st, 2012 - about 14 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 | 1700864295 | NPPES |
| Illinois | MEDICAID | 036098430 | |
| Illinois | MEDICAID | 1700864295 | |
| Illinois | Other | P00255065 |
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