Provider Demographics
NPI:1306815816
Name:SOLOMON, JANE P (DC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:P
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 SILVER BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-7327
Mailing Address - Country:US
Mailing Address - Phone:803-649-1160
Mailing Address - Fax:803-649-0146
Practice Address - Street 1:232 SILVER BLUFF RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-7327
Practice Address - Country:US
Practice Address - Phone:803-649-1160
Practice Address - Fax:803-649-0146
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCU30743Medicare UPIN