Sotolongo, Rose Marie
Sotolongo, Rose Marie is an sole proprietor health care provider with primary practice located at 731 S Pear Orchard Rd Suite 7, Ridgeland MS 39157-4800. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Sotolongo, Rose Marie can be contacted via phone (601) 206-9101.Contact Information
Primary practice address
731 S Pear Orchard Rd Suite 7
Ridgeland MS 39157-4800
Phone: (601) 206-9101
Fax: (601) 206-9102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 80114 | Mississippi |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 80114 | Mississippi |
Profile Details
| NPI number | 1790779858 |
|---|---|
| LBN Legal business name | Sotolongo, Rose Marie |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jan 13th, 2023 - 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 | 1790779858 | NPPES |
| Mississippi | MEDICAID | 00113033 | |
| Mississippi | Other | 480016317 |
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