Provider Demographics
NPI:1245253947
Name:SOLES, DENNIS (PT)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:SOLES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 LOWRY AVE
Mailing Address - Street 2:BUILDING C
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3074
Mailing Address - Country:US
Mailing Address - Phone:724-523-8809
Mailing Address - Fax:724-523-8812
Practice Address - Street 1:1117 LOWRY AVE
Practice Address - Street 2:BUILDING C
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3074
Practice Address - Country:US
Practice Address - Phone:724-523-8809
Practice Address - Fax:724-523-8812
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007192L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA225316OtherHEALTH AMERICA/ADVANTRA
PA573616OtherHIGHMARK
PA1512647Medicaid
PA2380545OtherAETNA HMO
PA5807310OtherAETNA PPO
PA225316OtherHEALTH AMERICA/ADVANTRA
PAS72188Medicare UPIN