Solomon, Gregory
Solomon, Gregory is an sole proprietor health care provider with primary practice located at 2722 W Liberty St , Girard OH 44420-3116. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Solomon, Gregory can be contacted via phone (724) 396-1510.Contact Information
Primary practice address
2722 W Liberty St
Girard OH 44420-3116
Phone: (724) 396-1510
Fax: (724) 972-4627
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S.1700123 | Ohio |
Profile Details
NPI number | 1174159990 |
---|---|
LBN Legal business name | Solomon, Gregory |
Credentials | LSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 13th, 2020 |
Last updated | Feb 22nd, 2022 - about 3 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 | 1174159990 | NPPES |
Ohio | MEDICAID | 0394763 |
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