Provider Demographics
NPI:1346641867
Name:SOLIS, JESSICA BRE' (DC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:BRE'
Last Name:SOLIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:BRE'
Other - Last Name:JOINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:9107 SE 29TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-7163
Mailing Address - Country:US
Mailing Address - Phone:405-739-0594
Mailing Address - Fax:405-739-0596
Practice Address - Street 1:9107 SE 29TH ST
Practice Address - Street 2:STE B
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-7163
Practice Address - Country:US
Practice Address - Phone:405-604-7368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor