Healthcare Provider Details
I. General information
NPI: 1194221952
Provider Name (Legal Business Name): DR. JOHN NORBERT SOLTYS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/02/2018
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 CENTER ST
MOBILE AL
36604-1541
US
IV. Provider business mailing address
PO BOX 746450
ATLANTA GA
30374-6450
US
V. Phone/Fax
- Phone: 251-660-5108
- Fax: 251-660-5792
- Phone: 866-401-3057
- Fax: 318-868-6430
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | MD.42193 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: