Provider Demographics
NPI:1780752519
Name:SOLLARS, DAVID W (LIC AC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:SOLLARS
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FIRSTHEALTH OF ANDOVER, P.C.
Mailing Address - Street 2:ONE DUNDEE PARK
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810
Mailing Address - Country:US
Mailing Address - Phone:978-474-9994
Mailing Address - Fax:
Practice Address - Street 1:FIRSTHEALTH OF ANDOVER, P.C.
Practice Address - Street 2:ONE DUNDEE PARK
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810
Practice Address - Country:US
Practice Address - Phone:978-474-9994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist