Chidlow, Judd H

Chidlow, Judd H is an individual health care provider with primary practice located at 1455 E Bert Kouns Loop , Shreveport LA 71105-5634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Chidlow, Judd H can be contacted via phone (318) 798-4569.

Contact Information

Primary practice address
1455 E Bert Kouns Loop Shreveport LA 71105-5634
Phone: (318) 798-4569
Fax: (318) 798-4423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 010233 Louisiana

Profile Details

NPI number 1154325058
LBN Legal business name Chidlow, Judd H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jul 8th, 2007 - about 18 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 1154325058 NPPES
Louisiana MEDICAID 1126594

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