Provider Demographics
NPI:1407566003
Name:SOLGOS, SHANELLE (DC)
Entity Type:Individual
Prefix:
First Name:SHANELLE
Middle Name:
Last Name:SOLGOS
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 1:26933 WESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4690
Mailing Address - Country:US
Mailing Address - Phone:440-385-7357
Mailing Address - Fax:844-587-9163
Practice Address - Street 1:26933 WESTWOOD RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4690
Practice Address - Country:US
Practice Address - Phone:440-385-7357
Practice Address - Fax:844-587-9163
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05143111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor