MEDICARE: JERROLD L SOLOMON DC 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
1	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992926109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JERROLD L SOLOMON DC INC

Provider Business Mailing Address
First Line	:	665 MIAMI ST
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-1935
Country	:	US
Telephone Number	:	419-443-8877
Fax Number	:	419-443-8885

Provider Business Practice Location Address
First Line	:	665 MIAMI ST
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-1935
Country	:	US
Telephone Number	:	419-443-8877
Fax Number	:	419-443-8885

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARIAH LYNNE SOLOMON
Credential	:
Telephone Number	:	419-443-8877

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	04/15/2024

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Directions to “JERROLD L SOLOMON DC INC ” Practice Location

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