Solon, Charles R
Solon, Charles R is an individual health care provider with primary practice located at 2460 Burton St Se Suite 200, Grand Rapids MI 49546-4800. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Solon, Charles R can be contacted via phone (616) 774-9571.Contact Information
Primary practice address
2460 Burton St Se Suite 200
Grand Rapids MI 49546-4800
Phone: (616) 774-9571
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | CS001382 | Michigan |
Profile Details
NPI number | 1063499630 |
---|---|
LBN Legal business name | Solon, Charles R |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 27th, 2005 |
Last updated | Sep 1st, 2009 - about 15 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 | 1063499630 | NPPES |
Michigan | MEDICAID | 4376578 |
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