Individual
JUAN S SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5172 LEAVITT RD, LORAIN, OH 44053
(440) 282-7420
(440) 282-9855
Mailing address
5334 MEADOW LANE COURT, SHEFFIELD VILLAGE, OH 44035-1469
(440) 282-7411
(440) 282-7419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.080384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305339
—
OH
01
—
P00296166
RAILROAD MEDICARE
OH
Enumeration date
06/24/2005
Last updated
12/30/2020
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