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General NPI Number Information
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NPI Number | 1609389923
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Entity Type | Organization
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Legal Business Name | JAMES BERTRAM SOLOMON
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 8029 RAY MEARS BLVD STE 300
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City | KNOXVILLE
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State | TN
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Zip | 37919-2710
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Country | US
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Telephone | 865-337-5574
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Fax | 865-313-2461
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Provider Business Mailing Address
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Address Line | 8029 RAY MEARS BLVD STE 300
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City | KNOXVILLE
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State | TN
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Zip | 37919-2710
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Country | US
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Telephone | 865-337-5574
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Fax | 865-313-2461
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES BERTRAM SOLOMON JR.
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Credential | DC
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Telephone | 865-337-5574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1800
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License Number State | TN
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