Healthcare Provider Details

I. General information

NPI: 1649605072
Provider Name (Legal Business Name): JARED JON SOLOMON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 GRAND AVE STE 6
BILLINGS MT
59102-6258
US

IV. Provider business mailing address

3737 GRAND AVE STE 6
BILLINGS MT
59102-6258
US

V. Phone/Fax

Practice location:
  • Phone: 406-839-2985
  • Fax:
Mailing address:
  • Phone: 406-839-2985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number19103
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number63670-20
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMED-PHYS-LIC-158503
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number63670-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: