Provider Demographics
NPI:1023058880
Name:WINSLETT, SONIA DENISE (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:DENISE
Last Name:WINSLETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S LINCOLN PARK DR
Mailing Address - Street 2:APT D
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-1213
Mailing Address - Country:US
Mailing Address - Phone:507-254-8228
Mailing Address - Fax:
Practice Address - Street 1:207 S LINCOLN PARK DR
Practice Address - Street 2:APT D
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-1213
Practice Address - Country:US
Practice Address - Phone:507-254-8228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN47297207P00000X
IN0162360A207P00000X
HIMD-8631207P00000X
LAMD.201090207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F83227Medicare UPIN