Provider Demographics
NPI:1518060730
Name:SOLANO, PEGGY (DC)
Entity Type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:
Last Name:SOLANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7241 E 146TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9858
Mailing Address - Country:US
Mailing Address - Phone:317-708-9355
Mailing Address - Fax:317-678-0653
Practice Address - Street 1:7241 E 146TH ST STE 110
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9858
Practice Address - Country:US
Practice Address - Phone:317-770-9003
Practice Address - Fax:317-678-0653
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001248A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100132490Medicaid
IN08001248AOtherINDIANA STATE LICENSE
IN230880CMedicare PIN
IN100132490Medicaid