Solomon, Krisseda S

Solomon, Krisseda S is an individual health care provider with primary practice located at 18101 Oakwood Blvd, Emergency Dept , Dearborn MI 48123-4089. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Solomon, Krisseda S can be contacted via phone (313) 593-8780.

Contact Information

Primary practice address
18101 Oakwood Blvd, Emergency Dept Dearborn MI 48123-4089
Phone: (313) 593-8780
Fax: (313) 436-2864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301084021 Michigan

Profile Details

NPI number 1902920028
LBN Legal business name Solomon, Krisseda S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Mar 4th, 2013 - about 11 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 1902920028 NPPES
Other 11726367 CAQH

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