Provider Demographics
NPI:1770206740
Name:SOLES, CHRISTOPHER DUANE JR
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DUANE
Last Name:SOLES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 N WASHINGTON ST UNIT 529
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4289
Mailing Address - Country:US
Mailing Address - Phone:720-788-6787
Mailing Address - Fax:
Practice Address - Street 1:255 N WASHINGTON ST UNIT 529
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4289
Practice Address - Country:US
Practice Address - Phone:720-788-6787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X
CO347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle