Healthcare Provider Details
I. General information
NPI: 1306756465
Provider Name (Legal Business Name): SOLITUDE MEDICAL CONSULTING BURNS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
235 W 6TH ST FL 2
RENO NV
89503-4548
US
IV. Provider business mailing address
748 S MEADOWS PKWY STE A9
RENO NV
89521-4841
US
V. Phone/Fax
- Phone: 775-473-2078
- Fax:
- Phone: 877-747-5050
- Fax: 775-747-5005
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081P2900X |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JONATHAN
BURNS
Title or Position: OWNER
Credential: MD
Phone: 775-544-7753