MEDICARE: SCOTT L SOLOMON DC

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
1	111N00000X	Chiropractor	DC007436L	PA

General Provider Information

NPI Number	:	1245538578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT L SOLOMON DC

Provider Business Mailing Address
First Line	:	1837 NORRISTOWN RD
Second Line	:
City	:	MAPLE GLEN
State	:	PA
Zip	:	19002-2837
Country	:	US
Telephone Number	:	267-808-7900
Fax Number	:	267-483-5141

Provider Business Practice Location Address
First Line	:	1837 NORRISTOWN RD
Second Line	:
City	:	MAPLE GLEN
State	:	PA
Zip	:	19002-2837
Country	:	US
Telephone Number	:	267-808-7900
Fax Number	:	267-483-5141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2011
Last Update Date	:	03/10/2011

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Directions to “ SCOTT L SOLOMON DC” Practice Location

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