Healthcare Provider Details
I. General information
NPI: 1881812907
Provider Name (Legal Business Name): LAWRENCE J SOLOW & SHARON N SOLOW
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/23/2007
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
920 PARK ROW
SALINAS CA
93901-2407
US
IV. Provider business mailing address
920 PARK ROW
SALINAS CA
93901-2407
US
V. Phone/Fax
- Phone: 831-422-4427
- Fax: 831-758-2363
- Phone: 831-422-4427
- Fax: 831-758-2363
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AU278 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | AU278 |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
LAWRENCE
J
SOLOW
Title or Position: OWNER
Credential: PHD
Phone: 831-422-4427