Provider Demographics
NPI:1780976365
Name:SOLCON INC
Entity type:Organization
Organization Name:SOLCON INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRISBINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-222-5963
Mailing Address - Street 1:30200 SE 79TH ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-8792
Mailing Address - Country:US
Mailing Address - Phone:425-222-5963
Mailing Address - Fax:
Practice Address - Street 1:30200 SE 79TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8792
Practice Address - Country:US
Practice Address - Phone:425-222-5963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602074992332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies