Provider Demographics
NPI:1538565692
Name:SOLOMON, BURTON JR (REGISTERED NURSE)
Entity type:Individual
Prefix:MR
First Name:BURTON
Middle Name:
Last Name:SOLOMON
Suffix:JR
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1289 SMOKE BURR DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4509
Mailing Address - Country:US
Mailing Address - Phone:614-887-6573
Mailing Address - Fax:
Practice Address - Street 1:101 E COLLEGE AVE STE 102
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1609
Practice Address - Country:US
Practice Address - Phone:614-887-6573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401693781014376K00000X
OHRN440864163WH1000X, 163W00000X, 163WA0400X, 163WA2000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No376K00000XNursing Service Related ProvidersNurse's Aide
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health