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Contact Information

CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
1200 OAKLEAF WAY
SUITE A
ALTOONA, WI54720-2245
 Phone: 715-832-1400
 Fax: 715-832-4187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Physical Therapy

261QP2000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC · (Female)

NPI # 1699778829
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2005
Last updated 07/31/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 54216
  • WI Medicaid 100249466
  • WI Medicaid 100272795
  • WI Medicaid 21278700
  • WI Medicaid 41741700
  • WI Other 542R9CH BCBS OF MN
  • WI Other ========= BLUE CROSS BLUE SHIELD
  • WI Other 220399400 OWCP
  • WI Other 2416091 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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