Healthcare Provider Details

I. General information

NPI: 1750830543
Provider Name (Legal Business Name): RACHEL CARR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL SOLOMON PA-C

II. Dates (important events)

Enumeration Date: 09/22/2016
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 HOSPITAL DR STE 100
LEWISBURG PA
17837-9394
US

IV. Provider business mailing address

1 HOSPITAL DR SUITE 306
LEWISBURG PA
17837-9350
US

V. Phone/Fax

Practice location:
  • Phone: 570-524-5056
  • Fax: 570-524-5061
Mailing address:
  • Phone: 570-522-4144
  • Fax: 570-768-3911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA058502
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA058502
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: