Solomon, Joetta Lynn

Solomon, Joetta Lynn is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Solomon, Joetta Lynn can be contacted via phone (951) 683-6370.

Contact Information

Primary practice address
7117 Brockton Ave Riverside CA 92506-2658
Phone: (951) 683-6370
Fax: (951) 784-3269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13188 California

Profile Details

NPI number 1083832166
LBN Legal business name Solomon, Joetta Lynn
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Nov 7th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083832166 NPPES
California Other ZZZ31887Z GROUP PTAN
California Other EAP70324F GROUP PTAN
California MEDICAID HAP71040F GROUP PTAN

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