Provider Demographics
NPI:1639370349
Name:SOLOMON, YAHE (CA)
Entity Type:Individual
Prefix:
First Name:YAHE
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3159 GARDENBROOK LN
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-0687
Mailing Address - Country:US
Mailing Address - Phone:406-586-3133
Mailing Address - Fax:406-586-3133
Practice Address - Street 1:2135 CHARLOTTE ST STE 1B
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-2741
Practice Address - Country:US
Practice Address - Phone:406-586-3133
Practice Address - Fax:406-586-3133
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT192171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist