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NPI Code Detail

MEDICARE: SOLOMON ENOW

MEDICARE:   SOLOMON  ENOW
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
1171M00000XCase Manager/Care Coordinator
2390200000XStudent in an Organized Health Care Education/Training Program
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1518299221
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOLOMON ENOW
Provider Business Mailing Address
First Line : 820 ENBORG CT
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2644
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 820 ENBORG CT
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2644
Country : US
Telephone Number : 408-885-7580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2010
Last Update Date : 08/27/2024

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Directions to “ SOLOMON ENOW ” Practice Location

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