Provider Demographics
NPI:1881696219
Name:SOLAN, JAMES A (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:SOLAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:217 MAIN STREET
Mailing Address - City:FAYETTE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:15438-0067
Mailing Address - Country:US
Mailing Address - Phone:724-326-9945
Mailing Address - Fax:724-326-4476
Practice Address - Street 1:217 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:FAYETTE CITY
Practice Address - State:PA
Practice Address - Zip Code:15438-0067
Practice Address - Country:US
Practice Address - Phone:724-326-9945
Practice Address - Fax:724-326-4476
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024682E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008613220003Medicaid
PAC33215Medicare UPIN
PA0008613220003Medicaid