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NPI Code Detail

MEDICARE: JON STEPHEN SOLIS MD

MEDICARE:   JON STEPHEN SOLIS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianMD08530RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
203-00143OTHERRIUHC
320185-2OTHERRIBCBS

General Provider Information

NPI Number : 1184622714
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON STEPHEN SOLIS MD
Provider Business Mailing Address
First Line : 17 WELLS ST
Second Line : SUITE 203
City : WESTERLY
State : RI
Zip : 02891-2923
Country : US
Telephone Number : 401-348-0660
Fax Number : 401-348-3090
Provider Business Practice Location Address
First Line : 17 WELLS ST
Second Line : SUITE 203
City : WESTERLY
State : RI
Zip : 02891-2923
Country : US
Telephone Number : 401-348-0660
Fax Number : 401-348-3090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 02/26/2009

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