1649302787 NPI number — JEROME SOLOMON M.D.

Table of content: THOMAS H GOOD MD (NPI 1942258579)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649302787 NPI number — JEROME SOLOMON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SOLOMON
Provider First Name:
JEROME
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649302787
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1141 PEAR TREE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NAPA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94558-6484
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-254-1774
Provider Business Mailing Address Fax Number:
707-251-2995

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 TRANCAS ST
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
NAPA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94558-2900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-257-7821
Provider Business Practice Location Address Fax Number:
707-257-2006
Provider Enumeration Date:
03/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  G15522 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: GR0067070 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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