Provider Demographics
NPI:1063740934
Name:SOLE SOLUTIONS INC
Entity type:Organization
Organization Name:SOLE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:509-252-0633
Mailing Address - Street 1:15319 E INDIANA AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1863
Mailing Address - Country:US
Mailing Address - Phone:509-252-0633
Mailing Address - Fax:509-928-7832
Practice Address - Street 1:15319 E INDIANA AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1863
Practice Address - Country:US
Practice Address - Phone:509-252-0633
Practice Address - Fax:509-928-7832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6609980001Medicare NSC