Basic Information
| Provider Information | |||||||||
| NPI: | 1194116640 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SOLOCHIER | ||||||||
| FirstName: | ALBERT | ||||||||
| MiddleName: | EDWARD | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | R.N., B.S.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 140 S. HOLLY STREET | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975013113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417748033 | ||||||||
| FaxNumber: | 5417747954 | ||||||||
| Practice Location | |||||||||
| Address1: | 140 SOUTH HOLLY STREET | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975013113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417748033 | ||||||||
| FaxNumber: | 5417747954 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2015 | ||||||||
| LastUpdateDate: | 02/05/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 093000101RN | OR | Y | Nursing Service Providers | Registered Nurse |
No ID Information.