Solis, Maurice M
Solis, Maurice M is an individual health care provider with primary practice located at 2409 N Patterson St Suite 230, Valdosta GA 31602-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Solis, Maurice M can be contacted via phone (229) 259-4369.Contact Information
Primary practice address
2409 N Patterson St Suite 230
Valdosta GA 31602-2512
Phone: (229) 259-4369
Fax: (229) 433-6513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 030673 | Georgia |
Profile Details
| NPI number | 1215976105 |
|---|---|
| LBN Legal business name | Solis, Maurice M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Sep 9th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215976105 | NPPES |
| Georgia | Other | 083704148 | TRICARE |
| Georgia | Other | 770002707 | TRICARE |
| Georgia | MEDICAID | 00366528D | TRICARE |
| Georgia | Other | 52027849 | TRICARE |
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