Provider Demographics
NPI:1407039720
Name:ERIN E. SOLETO, M.D., APMC, L.L.C.
Entity Type:Organization
Organization Name:ERIN E. SOLETO, M.D., APMC, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SOLETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-382-9020
Mailing Address - Street 1:608 FLEMING LN
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-3072
Mailing Address - Country:US
Mailing Address - Phone:318-382-9020
Mailing Address - Fax:318-382-9019
Practice Address - Street 1:608 FLEMING LN
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3072
Practice Address - Country:US
Practice Address - Phone:318-382-9020
Practice Address - Fax:318-382-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022939174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1495697Medicaid
LA438044076AOtherBLUE CROSS BLUE SHIELD OF LA
MEDD0538OtherRAILROAD MEDICARE
LA438044076AOtherBLUE CROSS BLUE SHIELD OF LA