Provider / Organization | NPI | Date Certified |
---|---|---|
AREN SOTO | 1558986406 | 2022-11-20 |
Aren Soto is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558986406. Registration indicates Aren Soto is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Aren Soto PA-S |
Practice Office Address | 7901 S 6TH ST OAK CREEK, WI US |
Practice Office Telephone | 4143468000 |
Mailing Address | 7901 S 6TH ST OAK CREEK, WI 531542010 US |
Business Telephone | 4143468000 |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 5571
WI |
1558986406 | MEDICAID | WI |