Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Solomon Hailemichael, LSA, CSA

Individual provider Surgical Assistant · NPI 1356617682

Solomon Hailemichael, LSA, CSA is a Surgical Assistant in Fairfax, Virginia. Licensed in District of Columbia. Registered with an NPI since 2012.

Licensed in
DC
In the registry since
2012
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Practice location Address checks out

12011 Lee Jackson Hwy
Fairfax, VA 22033
Phone: (703) 505-1022
Fax: (703) 455-9560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA16 (DC)

Record details

NPI number1356617682
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA , CSA
Sole proprietorNo
NPI enumeratedMarch 30, 2012
Last updated in NPPESSeptember 5, 2018
Mailing address8964 Scott St, Springfield, VA 22153-2460

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