MEDICARE: DR. NICHOLAS SOL D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	404	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0437020001	OTHER	CO	DMERC

General Provider Information

NPI Number	:	1114921731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS SOL D.P.M.

Provider Business Mailing Address
First Line	:	5014 EL CAMINO DR
Second Line	:	THE WALKING CLINIC, PC
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2106
Country	:	US
Telephone Number	:	719-635-7700
Fax Number	:	719-635-1794

Provider Business Practice Location Address
First Line	:	5014 EL CAMINO DR
Second Line	:	THE WALKING CLINIC, PC
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2106
Country	:	US
Telephone Number	:	719-635-7700
Fax Number	:	719-635-1794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	01/07/2008

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