Provider Demographics
NPI:1942080403
Name:SOLOMON, ERICA ALICIA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ALICIA
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32100 TELEGRAPH RD STE 250
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-2425
Mailing Address - Country:US
Mailing Address - Phone:248-721-4266
Mailing Address - Fax:248-721-4381
Practice Address - Street 1:32100 TELEGRAPH RD STE 250
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-2425
Practice Address - Country:US
Practice Address - Phone:248-721-4266
Practice Address - Fax:248-721-4381
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist