Solomon, Michael Craig
Solomon, Michael Craig is an sole proprietor health care provider with primary practice located at 555 Lake Whitney Place Suite 103, Port St Lucie FL 34986-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Solomon, Michael Craig can be contacted via phone (772) 468-0042.Contact Information
Primary practice address
555 Lake Whitney Place Suite 103
Port St Lucie FL 34986-1623
Phone: (772) 468-0042
Fax: (772) 468-0309
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | ME79256 | Florida |
Profile Details
NPI number | 1023070539 |
---|---|
LBN Legal business name | Solomon, Michael Craig |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2006 |
Last updated | Aug 25th, 2020 - about 5 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 | 1023070539 | NPPES |
Florida | MEDICAID | 265785600 |
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