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NPI Code Detail

MEDICARE: SOLOMON MBE

MEDICARE: SOLOMON MBE
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700583309
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOLOMON MBE
Provider Business Mailing Address
First Line : 6408 CIPRIANO RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-3968
Country : US
Telephone Number : 240-615-7423
Fax Number :
Provider Business Practice Location Address
First Line : 3417 18TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2721
Country : US
Telephone Number : 202-629-2917
Fax Number : 202-629-2797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2023
Last Update Date : 09/18/2023

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Directions to “ SOLOMON MBE ” Practice Location

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