Provider Demographics
NPI:1306562020
Name:SOLODUKA CHIROPRACTIC
Entity type:Organization
Organization Name:SOLODUKA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLODUKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:416-522-9176
Mailing Address - Street 1:3324 STATE ST STE H
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2673
Mailing Address - Country:US
Mailing Address - Phone:805-682-1433
Mailing Address - Fax:
Practice Address - Street 1:3324 STATE ST STE H
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2673
Practice Address - Country:US
Practice Address - Phone:805-682-1433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-14
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNONE