Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN1001X | Nutrition | 2830 | NC |
N | 111NR0200X | Radiology | 2830 | NC |
N | 213ER0200X | Radiology | 2830 | NC |
N | 111NS0005X | Chiropractic Sports Physician | 2830 | NC |
NPI | 1326071390 |
---|---|
Provider Name | Dr. David Scott Solar |
First Address | Jacksonville, NC 28540-4084 |
Second Address | Richlands, NC 28574-8332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
085HF | B/C B/S (01) | NC |
89085HF | (05) | NC |
U88803 | (02) | NC |