Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK E. SOULIS, CPO
ActiveJACK E. SOULIS, CPO is a Orthotist healthcare provider located in DUARTE, California. NPI 1174025068 is currently active in the NPPES registry. Verify at CMS.
Orthotist · DUARTE, CA
Registration Details
- NPI Number
- 1174025068
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2018 (8.4493733853973 yrs)
- Last Updated
- Mar 6, 2018
- Licenses
-
CPO03980CPO03980
Practice Information
- Address
-
931 BUENA VISTA ST STE 105DUARTE, CA, 910101780Browse CA providers · Browse ZIP 91010
- Phone
- 6262561415
- Fax
- 6262561405
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Orthotist
Other Orthotist Providers in DUARTE, CA
| Name | Credential | NPI |
|---|---|---|
| MARK A. RODRIGUEZ | CPO | 1407223365 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.