Soutor, Carol A

Soutor, Carol A is an individual health care provider with primary practice located at 401 Phalen Blvd - Ms 41102B Healthpartners Specialty Center 401, St. Paul MN 55130-5302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Soutor, Carol A can be contacted via phone (651) 254-7580.

Contact Information

Primary practice address
401 Phalen Blvd - Ms 41102B Healthpartners Specialty Center 401 St. Paul MN 55130-5302
Phone: (651) 254-7580
Fax: (651) 254-7584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24028 Minnesota

Profile Details

NPI number 1023084241
LBN Legal business name Soutor, Carol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 14th, 2011 - about 15 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 1023084241 NPPES
Minnesota MEDICAID 841582000

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