Provider Demographics
NPI:1821289752
Name:WILLIAM A SOLOMON, MD, P.C.
Entity Type:Organization
Organization Name:WILLIAM A SOLOMON, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-890-1001
Mailing Address - Street 1:3140 S PEORIA ST # 266
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3178
Mailing Address - Country:US
Mailing Address - Phone:303-890-1001
Mailing Address - Fax:303-751-3477
Practice Address - Street 1:3140 S PEORIA ST # 266
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3178
Practice Address - Country:US
Practice Address - Phone:303-890-1001
Practice Address - Fax:303-751-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22769207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01227693Medicaid
COD24153Medicare UPIN
CO01227693Medicaid