Provider Demographics
NPI:1811195233
Name:MITCHELL, SOLOMON QUINN (DC)
Entity Type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:QUINN
Last Name:MITCHELL
Suffix:
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 1:700 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2748
Mailing Address - Country:US
Mailing Address - Phone:831-457-2000
Mailing Address - Fax:831-457-2140
Practice Address - Street 1:700 RIVER ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2748
Practice Address - Country:US
Practice Address - Phone:831-457-2000
Practice Address - Fax:831-457-2140
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30616111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor