Healthcare Provider Details

I. General information

NPI: 1407039720
Provider Name (Legal Business Name): ERIN E. SOLETO, M.D., APMC, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 07/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 FLEMING LN
MINDEN LA
71055-3072
US

IV. Provider business mailing address

608 FLEMING LN
MINDEN LA
71055-3072
US

V. Phone/Fax

Practice location:
  • Phone: 318-382-9020
  • Fax: 318-382-9019
Mailing address:
  • Phone: 318-382-9020
  • Fax: 318-382-9019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number022939
License Number StateLA

VIII. Authorized Official

Name: DR. ERIN E. SOLETO
Title or Position: OWNER
Credential: MD
Phone: 318-382-9020