Provider Demographics
NPI:1467239319
Name:SOLOMON, NADIA
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 MIDDLE ROWSBURG RD LOT 2
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-2826
Mailing Address - Country:US
Mailing Address - Phone:419-651-1895
Mailing Address - Fax:
Practice Address - Street 1:1180 MIDDLE ROWSBURG RD LOT 2
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-2826
Practice Address - Country:US
Practice Address - Phone:419-651-1895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2910854Medicaid