Solomon, Glen David
Solomon, Glen David is an individual health care provider with primary practice located at 1222 S Patterson Blvd Suite 230, Dayton OH 45402-2684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Solomon, Glen David can be contacted via phone (937) 223-5350.Contact Information
Primary practice address
1222 S Patterson Blvd Suite 230
Dayton OH 45402-2684
Phone: (937) 223-5350
Fax: (937) 224-3112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036066707 | Illinois |
Profile Details
| NPI number | 1760481626 |
|---|---|
| LBN Legal business name | Solomon, Glen David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Apr 3rd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760481626 | NPPES |
| Ohio | MEDICAID | 0708569 |
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