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Contact Information

ANDREW I SOLOMON DC SC
4401 TAYLOR AVENUE
RACINE, WI53405-4679
 Phone: 262-552-7999
 Fax: 262-552-7998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ANDREW I SOLOMON DC SC

NPI # 1063546851
LBN Legal business name ANDREW I SOLOMON DC SC
Authorized official ANDREW SOLOMON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 1406012
WI Medicaid 38752300
WI Other 088387499002 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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