Provider Demographics
NPI:1023300431
Name:SONNE, RACHEL ELIZABETH S (MD, MPH)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELIZABETH S
Last Name:SONNE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELIZABETH
Other - Last Name:SELTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD MPH
Mailing Address - Street 1:1007 N POPE ST
Mailing Address - Street 2:HIDALGO MEDICAL SERVICES
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-5161
Mailing Address - Country:US
Mailing Address - Phone:575-597-2726
Mailing Address - Fax:575-313-8236
Practice Address - Street 1:1007 N POPE ST
Practice Address - Street 2:HIDALGO MEDICAL SERVICES
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-5161
Practice Address - Country:US
Practice Address - Phone:575-597-2726
Practice Address - Fax:575-313-8236
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2016-0783207Q00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine