Healthcare Provider Details

I. General information

NPI: 1134139348
Provider Name (Legal Business Name): JEFFREY SOLEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 COURT ST STE 1
WESTFIELD MA
01085-3521
US

IV. Provider business mailing address

PO BOX 890
GRANBY MA
01033-0890
US

V. Phone/Fax

Practice location:
  • Phone: 413-562-3615
  • Fax: 413-562-3611
Mailing address:
  • Phone: 413-562-3615
  • Fax: 413-562-3611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1912
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: