Organization Name: | SOLUS CENTER FOR MIND BODY SPIRIT MEDICINE INC |
NPI Number: | 1700073608 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM S SOBAT (PRESIDENT) |
Mailing Address: | 1111 Ronald Reagan Pkwy Suite #b-1540 Avon |
State: | IN US |
Postal Code: | 461237085 |
Phone Number: | 3172173675 |
Fax Number: | 3172172559 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 05/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01019828A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |