Solomon, Jerry

Solomon, Jerry is an sole proprietor health care provider with primary practice located at 407 Avalon St , Santa Cruz CA 95060-2207. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Solomon, Jerry can be contacted via phone (831) 425-8785.

Contact Information

Primary practice address
407 Avalon St Santa Cruz CA 95060-2207
Phone: (831) 425-8785
Fax: (831) 425-2308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY7825 California

Profile Details

NPI number 1023142890
LBN Legal business name Solomon, Jerry
Credentials JERRY SOLOMON
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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