Provider Demographics
NPI:1114921731
Name:SOL, NICHOLAS (DPM)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:SOL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5014 EL CAMINO DR
Mailing Address - Street 2:THE WALKING CLINIC, PC
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-2106
Mailing Address - Country:US
Mailing Address - Phone:719-635-7700
Mailing Address - Fax:719-635-1794
Practice Address - Street 1:5014 EL CAMINO DR
Practice Address - Street 2:THE WALKING CLINIC, PC
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-2106
Practice Address - Country:US
Practice Address - Phone:719-635-7700
Practice Address - Fax:719-635-1794
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO404213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04016523Medicaid
CO01004043Medicaid
CO0437020001OtherDMERC
COC55673Medicare PIN
COT60245Medicare UPIN
CO04016523Medicaid