Organization
ANDREW I SOLOMON DC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW IRA SOLOMON DC (OWNER)
(262) 552-7999
Entity
Organization
Contact information
Practice address
4401 TAYLOR AVENUE, RACINE, WI 53405-4679
(262) 552-7999
(262) 552-7998
Mailing address
4401 TAYLOR AVENUE, RACINE, WI 53405-4679
(262) 552-7999
(262) 552-7998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1406012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088387499002
BLUE CROSS
WI
05
—
38752300
—
WI
Enumeration date
03/15/2007
Last updated
08/22/2020
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