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

Primary practice address
407 14Th Ave Se Puyallup WA 98372-3770
Phone: (253) 697-4110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679533251 NPPES
Texas MEDICAID 136293112
Texas MEDICAID 136293110
Texas Other 0068PT

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