Provider Demographics
NPI:1013328814
Name:SOLANA THERAPEUTICS
Entity Type:Organization
Organization Name:SOLANA THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEAD THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-717-1332
Mailing Address - Street 1:44191 PLYMOUTH OAKS BLVD
Mailing Address - Street 2:600
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6530
Mailing Address - Country:US
Mailing Address - Phone:734-259-7103
Mailing Address - Fax:
Practice Address - Street 1:44191 PLYMOUTH OAKS BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-6530
Practice Address - Country:US
Practice Address - Phone:734-259-7103
Practice Address - Fax:734-259-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty