# JORGE F SOTOLONGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629189139
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 18305 | NE | — |
| 207V00000X | Obstetrics & Gynecology Physician | 27364 | IA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 06287 | WELLMARK-ATLANTIC | — |
| 05 | — | 10025407200 | — | NE |
| 01 | — | 20108 | BCBSN | — |
| 01 | — | 22905 | WELLMARK-201 RIDGE | — |
| 05 | — | 3060582 | — | IA |
| 05 | — | 3171538 | — | IA |
| 05 | — | 4171538 | — | IA |
| 05 | — | 42150546516 | — | NE |
| 05 | — | 42150546517 | — | NE |
| 05 | — | 42150546518 | — | NE |
| 05 | — | 42150546520 | — | NE |
| 05 | — | 5171538 | — | IA |
| 05 | — | 7171538 | — | IA |
| 05 | — | 8171538 | — | IA |
| 01 | — | 97474 | WELLMARK-LAKESIDE | — |
| 01 | — | 97475 | WELLMARK-S. 24TH | — |
| 01 | — | 97476 | WELLMARK-CENTER | — |