MEDICARE: SOLOMON DEJENE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1356951362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOLOMON DEJENE

Provider Business Mailing Address
First Line	:	15755 E CENTER AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-2017
Country	:	US
Telephone Number	:	720-297-2640
Fax Number	:

Provider Business Practice Location Address
First Line	:	15755 E CENTER AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80017-2017
Country	:	US
Telephone Number	:	720-297-2640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2020
Last Update Date	:	06/18/2025

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Directions to “ SOLOMON DEJENE ” Practice Location

Language	Start Address	Practice Location

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