Solomon, Mark R
Solomon, Mark R is an individual health care provider with primary practice located at 407 14Th Ave Se , Puyallup WA 98372-3770. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Solomon, Mark R can be contacted via phone (253) 697-4110.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | H9272 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60034383 | Washington |
Profile Details
| NPI number | 1679533251 |
|---|---|
| LBN Legal business name | Solomon, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | May 6th, 2011 - about 14 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 | 1679533251 | NPPES |
| Texas | MEDICAID | 136293112 | |
| Texas | MEDICAID | 136293110 | |
| Texas | Other | 0068PT |
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