Provider Demographics
NPI:1386409431
Name:SOLELYTICS LLC
Entity type:Organization
Organization Name:SOLELYTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHESON
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:804-821-1321
Mailing Address - Street 1:4313 MILSMITH RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-4537
Mailing Address - Country:US
Mailing Address - Phone:804-821-1321
Mailing Address - Fax:
Practice Address - Street 1:1431 SUSTAINMENT AVE
Practice Address - Street 2:
Practice Address - City:FORT GREGG ADAMS
Practice Address - State:VA
Practice Address - Zip Code:23801-1603
Practice Address - Country:US
Practice Address - Phone:804-821-1321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies