Jack E. Soulis, CPO
Jack E. Soulis, CPO is a Prosthetist in Duarte, California. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
931 Buena Vista St Ste 105Duarte, CA 91010-1780
Phone: (626) 256-1415
Fax: (626) 256-1405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence CPO03980 |
|---|---|
| Prosthetist | Taxonomy 224P00000X · Licence CPO03980 |
Record details
| NPI number | 1174025068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO |
| Sole proprietor | No |
| NPI enumerated | March 6, 2018 |
| Last updated in NPPES | March 6, 2018 |
| Mailing address | 931 Buena Vista St Ste 105, Duarte, CA 91010-1780 |
Other providers in Duarte
-
Mark A. Rodriguez, CPO
931 Buena Vista St Ste 105, Duarte, CA 91010-1780 · (626) 256-1415