Chao, Andrea M

Chao, Andrea M is an individual health care provider with primary practice located at 160 Valley Dr , Lodi WI 53555-1464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chao, Andrea M can be contacted via phone (608) 592-3296.

Contact Information

Primary practice address
160 Valley Dr Lodi WI 53555-1464
Phone: (608) 592-3296
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 41860 Wisconsin

Profile Details

NPI number 1124085584
LBN Legal business name Chao, Andrea M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124085584 NPPES
Wisconsin MEDICAID 32635400

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