Dudak, Philip S
Dudak, Philip S is an individual health care provider with primary practice located at 11133 Dunn Rd , Saint Louis MO 63136-6163. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dudak, Philip S can be contacted via phone (314) 653-5228.Contact Information
Primary practice address
11133 Dunn Rd
Saint Louis MO 63136-6163
Phone: (314) 653-5228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 005778 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2013003629 | Missouri |
| Chiropractic Providers / Chiropractor | 111N00000X | 038006559 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209010226 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2013003629 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209010226 | Illinois |
Profile Details
| NPI number | 1720067051 |
|---|---|
| LBN Legal business name | Dudak, Philip S |
| Credentials | DC, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jul 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720067051 | NPPES |
| Illinois | Other | 118828 | BCBS |
| Illinois | Other | 4400267 | BCBS |
Popular Providers
-
Hoog, Stephanie A
1 Jefferson Barracks Dr , Saint Louis MO 63125-4181 -
Vogt, Misty Dawn
450 N New Ballas Rd Dept Otolaryngology, Ste 140, Saint Louis MO 63141-6859 -
Vinjamoori, Sasi
6420 Clayton Rd , Saint Louis MO 63117-1811 -
Burgard, Lisa R
621 S New Ballas Rd 498A, Saint Louis MO 63141-8232 -
Breckle, Barry Ellis
1 Jefferson Barracks Dr 11G-Jb, Saint Louis MO 63125-4181 -
Montgomery, Jeanette Ruth
12647 Olive Blvd Suite 600, Saint Louis MO 63141-6345 -
Buckwalter, Diana K
615 S New Ballas Rd , Saint Louis MO 63141-8221 -
Goldenberg, Linda W
4921 Parkview Pl Div Im Medical Oncology, 7Th Fl, Saint Louis MO 63110-1032