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NPI Code Detail

MEDICARE: J.B. SOLOMON, INC.

MEDICARE: J.B. SOLOMON, INC.
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
1332S00000XHearing Aid Equipment556AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
149872OTHERARAR BC BS

General Provider Information

NPI Number : 1942481155
Entity Type Code : Organization
Provider Name (Legal Business Name) : J.B. SOLOMON, INC.
Provider Business Mailing Address
First Line : 1100 LEXINGTON AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-5136
Country : US
Telephone Number : 479-782-5858
Fax Number : 479-782-5873
Provider Business Practice Location Address
First Line : 1100 LEXINGTON AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-5136
Country : US
Telephone Number : 479-782-5858
Fax Number : 479-782-5873
Authorized Official
Title or Position : OWNER
Name : MRS. JEAN M. SOLOMON
Credential :
Telephone Number : 479-782-5858
Provider Enumeration Date : 11/15/2007
Last Update Date : 11/15/2007

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Directions to “J.B. SOLOMON, INC. ” Practice Location

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