Provider Demographics
NPI:1306957055
Name:SOLOMON, PAUL J (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 PINE ST
Mailing Address - Street 2:STE A
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-3570
Mailing Address - Country:US
Mailing Address - Phone:785-625-6115
Mailing Address - Fax:
Practice Address - Street 1:1301 PINE ST
Practice Address - Street 2:STE A
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-3570
Practice Address - Country:US
Practice Address - Phone:785-625-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062117Medicare ID - Type UnspecifiedMEDICARE
KS62117Medicare UPIN