National Provider Identifier Database

SOLSTICE PEDIATRICS AND SPORTS MEDICINE PLC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

SOLSTICE PEDIATRICS AND SPORTS MEDICINE, PLC
4731 S WHITE MOUNTAIN RD
SHOW LOW, AZ85901-7818
Phone: 203-913-7092
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Sports Medicine 2080S0010X

* Indicates primary specialty

NPI Profile & details for SOLSTICE PEDIATRICS AND SPORTS MEDICINE, PLC

NPI Number 1366723280
Legal business name
LBN
SOLSTICE PEDIATRICS AND SPORTS MEDICINE, PLC
Authorized official MICHAEL PUCHOWICZ - (AUTHORIZED MEMBER)
Entity Organization
Organization subpart No
Enumeration date 09/06/2011
Last updated 09/06/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 44940

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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