Provider Demographics
NPI:1568462497
Name:JEFFREY S SOLLINS MD PC
Entity Type:Organization
Organization Name:JEFFREY S SOLLINS MD PC
Other - Org Name:BRIDGES IN MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SOLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-855-5545
Mailing Address - Street 1:7510 MONTGOMERY BLVD NE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-1500
Mailing Address - Country:US
Mailing Address - Phone:505-855-5545
Mailing Address - Fax:505-855-5541
Practice Address - Street 1:7510 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE 203
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1500
Practice Address - Country:US
Practice Address - Phone:505-855-5545
Practice Address - Fax:505-855-5541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty