Provider Demographics
NPI:1356434450
Name:SOLIS, CHRISTA MICHELLE (HS)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:MICHELLE
Last Name:SOLIS
Suffix:
Gender:F
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-3628
Mailing Address - Country:US
Mailing Address - Phone:203-468-4493
Mailing Address - Fax:203-468-4483
Practice Address - Street 1:120 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-3628
Practice Address - Country:US
Practice Address - Phone:203-468-4493
Practice Address - Fax:203-468-4483
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other