Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 236183 | NY |
Y | 207V00000X | Obstetrician & Gynecologist | E7815 | AR |
NPI | 1013909498 |
---|---|
Provider Name | Ms. Sonia R Joseph |
First Address | Jonesboro, AR 72401-3119 |
Second Address | Jonesboro, AR 72401-3119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 21/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02657683 | (05) | NY |
197351003 | (05) | AR |
I32367 | (02) |