Provider Demographics
NPI: | 1386088805 |
---|---|
Name: | SOLUTIONS HEALTHCARE LLC |
Entity type: | Organization |
Organization Name: | SOLUTIONS HEALTHCARE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PAUL |
Authorized Official - Middle Name: | F |
Authorized Official - Last Name: | KAISER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | D C, |
Authorized Official - Phone: | 770-306-2520 |
Mailing Address - Street 1: | PO BOX 32 |
Mailing Address - Street 2: | |
Mailing Address - City: | TYRONE |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30290-0032 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 770-306-2520 |
Mailing Address - Fax: | 770-306-2201 |
Practice Address - Street 1: | 8470 SENOIA RD |
Practice Address - Street 2: | |
Practice Address - City: | FAIRBURN |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30213-2870 |
Practice Address - Country: | US |
Practice Address - Phone: | 770-306-2520 |
Practice Address - Fax: | 770-306-2201 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-04-26 |
Last Update Date: | 2013-04-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 111N00000X | Chiropractic Providers | Chiropractor | Group - Multi-Specialty |