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NPI Code Detail

MEDICARE: MR. ELDON R SOLOMON LMHC, MS

MEDICARE:  MR. ELDON R SOLOMON  LMHC, MS
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
1101YM0800XMental Health Counselor39000239AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000321933OTHERINBC/BS #
2300356029OTHERINCIGNA
3300356029OTHERINVALUE OPTIONS
4000000492161OTHERINBCBS
5300356029OTHERINCHOICE CARE
6300356029OTHERINTRICARE
7300356029OTHERINSAGAMORE
8300356029OTHERINHORIZON BEHAVIORAL HEALTH
9300356029OTHERINMAGELLAN

General Provider Information

NPI Number : 1912989906
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELDON R SOLOMON LMHC, MS
Provider Business Mailing Address
First Line : 240 N TILLOTSON AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-3988
Country : US
Telephone Number : 765-288-1928
Fax Number : 765-741-0335
Provider Business Practice Location Address
First Line : 240 N TILLOTSON AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-3988
Country : US
Telephone Number : 765-288-1928
Fax Number : 765-741-0335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 01/02/2015

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Directions to “ MR. ELDON R SOLOMON LMHC, MS” Practice Location

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