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NPI Code Detail

MEDICARE: DR. ANDREW CHATER JUDKINS D.C.

MEDICARE:  DR. ANDREW CHATER JUDKINS  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4008-012WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881699387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW CHATER JUDKINS D.C.
Provider Business Mailing Address
First Line : 420 E DIVISION ST
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-4560
Country : US
Telephone Number : 920-926-8340
Fax Number : 920-926-8370
Provider Business Practice Location Address
First Line : 421 CAMELOT DR
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-8335
Country : US
Telephone Number : 920-926-8550
Fax Number : 920-926-8058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 11/17/2020

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Directions to “ DR. ANDREW CHATER JUDKINS D.C.” Practice Location

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