Provider Demographics
NPI:1184310054
Name:CHAMPAGNE, SOLOMON JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:JAMES
Last Name:CHAMPAGNE
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 1:1550 RALEIGH ST APT 439
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1466
Mailing Address - Country:US
Mailing Address - Phone:989-372-3071
Mailing Address - Fax:
Practice Address - Street 1:4346 ALCOTT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1755
Practice Address - Country:US
Practice Address - Phone:303-993-5769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008663111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor