Solomon, Spencer J

Solomon, Spencer J is an individual health care provider with primary practice located at 2333 Biddle St , Wyandotte MI 48192-4668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Solomon, Spencer J can be contacted via phone (313) 284-9400.

Contact Information

Primary practice address
2333 Biddle St Wyandotte MI 48192-4668
Phone: (313) 284-9400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 012809 Michigan

Profile Details

NPI number 1841239100
LBN Legal business name Solomon, Spencer J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 5th, 2008 - about 16 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 1841239100 NPPES
Michigan MEDICAID 4135171
Michigan MEDICAID 4832759
Michigan Other SS012809

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