Provider Demographics
NPI:1780721159
Name:SOLARIS, INC.
Entity type:Organization
Organization Name:SOLARIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:WEATHERLY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:414-918-9180
Mailing Address - Street 1:6737 W WASHINGTON ST
Mailing Address - Street 2:SUITE 3260
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-5647
Mailing Address - Country:US
Mailing Address - Phone:414-918-9180
Mailing Address - Fax:414-918-9189
Practice Address - Street 1:6737 W WASHINGTON ST
Practice Address - Street 2:SUITE 3260
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-5647
Practice Address - Country:US
Practice Address - Phone:414-918-9180
Practice Address - Fax:414-918-9189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment