Healthcare Provider Details

I. General information

NPI: 1629893078
Provider Name (Legal Business Name): HELEN E SOLOMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5905 O ST
LINCOLN NE
68510-2235
US

IV. Provider business mailing address

4001 NW 57TH ST
LINCOLN NE
68524-1065
US

V. Phone/Fax

Practice location:
  • Phone: 402-436-1657
  • Fax:
Mailing address:
  • Phone: 402-570-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: