Provider Demographics
NPI:1225429475
Name:S. SOLLOWAY ACUPUNCTURE, PA
Entity Type:Organization
Organization Name:S. SOLLOWAY ACUPUNCTURE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC LAC
Authorized Official - Phone:954-961-9066
Mailing Address - Street 1:112 S FEDERAL HWY STE 4
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-4939
Mailing Address - Country:US
Mailing Address - Phone:954-961-9066
Mailing Address - Fax:561-469-6719
Practice Address - Street 1:112 S FEDERAL HWY STE 4
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4939
Practice Address - Country:US
Practice Address - Phone:954-961-9066
Practice Address - Fax:561-469-6719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty