Provider Demographics
NPI:1629642723
Name:SOLER, KATIE (DO)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:SOLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SCHOOL VIEW DR APT 11
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-4370
Mailing Address - Country:US
Mailing Address - Phone:551-689-8469
Mailing Address - Fax:
Practice Address - Street 1:2015 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6726
Practice Address - Country:US
Practice Address - Phone:609-572-8286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program