Chudy, Louis J

Chudy, Louis J is an sole proprietor health care provider with primary practice located at 2304 N Grandview Blvd , Waukesha WI 53188-1602. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Chudy, Louis J can be contacted via phone (262) 542-6900.

Contact Information

Primary practice address
2304 N Grandview Blvd Waukesha WI 53188-1602
Fax: (262) 522-3981
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2276 Wisconsin

Profile Details

NPI number 1578666418
LBN Legal business name Chudy, Louis J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1578666418 NPPES
Wisconsin MEDICAID 38833500
Wisconsin Other 391599318

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