Gudgel, Wayne Erron

Gudgel, Wayne Erron is an individual health care provider with primary practice located at 821 E Bridge St , Redwood Falls MN 56283-1801. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gudgel, Wayne Erron can be contacted via phone (507) 637-8585.

Contact Information

Primary practice address
821 E Bridge St Redwood Falls MN 56283-1801
Phone: (507) 637-8585
Fax: (507) 637-8649
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X MN3465 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 8001749 Indiana

Profile Details

NPI number 1467445817
LBN Legal business name Gudgel, Wayne Erron
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jan 26th, 2011 - about 13 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 1467445817 NPPES
Minnesota Other 5C685GU BLUE CROSS
Minnesota MEDICAID 184715500 BLUE CROSS

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