Doctor Name: | DR. JON S SOLBERG |
NPI Number: | 1588830418 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | PT 10871 |
Business Practice Address: | #1 Burdick Expy W Minot, ND - 587014406 |
Business Phone Number: | 7018575260 |
Business Fax Number: | 7018573260 |
Mailing Address: | Po Box 130, BURLINGTON |
State: | ND |
Postal Code: | 58722 |
Phone Number: | 2187918974 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2008 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | PT 10871 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |