Provider Demographics
NPI:1518796887
Name:SOLOS, IOANNIS (LAC)
Entity type:Individual
Prefix:DR
First Name:IOANNIS
Middle Name:
Last Name:SOLOS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6941 E 4TH ST UNIT 12
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5569
Mailing Address - Country:US
Mailing Address - Phone:480-853-3600
Mailing Address - Fax:
Practice Address - Street 1:8400 S KYRENE RD STE 224
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-2101
Practice Address - Country:US
Practice Address - Phone:480-853-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ010084171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist