Provider Demographics
NPI:1477573947
Name:SOLUS, DONALD E (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:E
Last Name:SOLUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-2541
Mailing Address - Country:US
Mailing Address - Phone:530-842-0606
Mailing Address - Fax:530-842-0665
Practice Address - Street 1:534 N MAIN ST
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-2541
Practice Address - Country:US
Practice Address - Phone:530-842-0606
Practice Address - Fax:530-842-0665
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79862207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00368844OtherRAILROAD MEDICARE
CA00G798620OtherBLUE SHIELD
CA611798900OtherOWCP
CAP00368844OtherRAILROAD MEDICARE
CAG22455Medicare UPIN