Individual
CHAD DANIEL SALOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
2036 N WALNUT ST, APT A12, BLOOMINGTON, IN 47404-2465
(812) 267-8853
Mailing address
2036 N WALNUT ST, APT A12, BLOOMINGTON, IN 47404-2465
(812) 267-8853
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
81897
IN
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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