Solomon, John Alan

Solomon, John Alan is an individual health care provider with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Solomon, John Alan can be contacted via phone (903) 614-3000.

Contact Information

Primary practice address
5002 Cowhorn Creek Rd Texarkana TX 75503-9766
Fax: (903) 614-3525
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G6020 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X C5453 Arkansas

Profile Details

NPI number 1376543280
LBN Legal business name Solomon, John Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 14th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376543280 NPPES
Arkansas MEDICAID 107752001
Arkansas MEDICAID 100569601

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