Healthcare Provider Details

I. General information

NPI: 1295707404
Provider Name (Legal Business Name): HOWARD J SOLOMON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2793 SHAWNEE RD
LIMA OH
45806-1444
US

IV. Provider business mailing address

6351 SORENSTAM LN
LIMA OH
45801-8602
US

V. Phone/Fax

Practice location:
  • Phone: 419-227-8209
  • Fax: 419-222-6007
Mailing address:
  • Phone: 419-234-2751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35064932
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier100006042
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerRAILROAD MEDICARE
# 2
Identifier0919304
Identifier TypeMEDICAID
Identifier StateOH
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: