Provider Demographics
NPI:1245538578
Name:SOLOMON, SCOTT L (DC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:L
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 1:1837 NORRISTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE GLEN
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2837
Mailing Address - Country:US
Mailing Address - Phone:267-808-7900
Mailing Address - Fax:267-483-5141
Practice Address - Street 1:1837 NORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:MAPLE GLEN
Practice Address - State:PA
Practice Address - Zip Code:19002-2837
Practice Address - Country:US
Practice Address - Phone:267-808-7900
Practice Address - Fax:267-483-5141
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007436L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor