Provider Demographics
NPI:1639176670
Name:SOLIDAY, J. THOMAS JR (DC)
Entity Type:Individual
Prefix:DR
First Name:J.
Middle Name:THOMAS
Last Name:SOLIDAY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 5TH AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4210
Mailing Address - Country:US
Mailing Address - Phone:717-263-6101
Mailing Address - Fax:717-263-6202
Practice Address - Street 1:761 5TH AVE
Practice Address - Street 2:SUITE F
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4210
Practice Address - Country:US
Practice Address - Phone:717-263-6101
Practice Address - Fax:717-263-6202
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-06
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004211L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012308290002Medicaid
PAU12027Medicare UPIN
PA585238Medicare ID - Type Unspecified