Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3350 | FL |
NPI | 1679798805 |
---|---|
Provider Name | Dr. Stephen Solloway |
First Address | Boynton Beach, FL 33435-4939 |
Second Address | Boynton Beach, FL 33435-4939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2007 |
Last Update Date | 09/11/2016 |