Provider Demographics
NPI:1831296391
Name:SOLOMON, RONALD RAY (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:RAY
Last Name:SOLOMON
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:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NC
Mailing Address - Zip Code:28519-0065
Mailing Address - Country:US
Mailing Address - Phone:252-670-7523
Mailing Address - Fax:
Practice Address - Street 1:1102 C ST
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:NC
Practice Address - Zip Code:28519
Practice Address - Country:US
Practice Address - Phone:252-514-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor