Provider Demographics
NPI:1699243782
Name:SOLIDITY MEDICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:SOLIDITY MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-891-1475
Mailing Address - Street 1:829 S 1100 W
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-5718
Mailing Address - Country:US
Mailing Address - Phone:801-891-1475
Mailing Address - Fax:801-508-2270
Practice Address - Street 1:829 S 1100 W
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-5718
Practice Address - Country:US
Practice Address - Phone:801-891-1475
Practice Address - Fax:801-508-2270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies