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Contact Information

CHAD M ENNIS, MD
1 S PARK ST FL 6
MADISON, WI53715-1375
 Phone: 608-287-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CHAD M ENNIS · (Male)

NPI Number 1184010977
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2015
Last updated 02/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 66028-20
Hospital affiliation(s)
  • MERITER HSPTL - (Acute Care)
    202 S PARK ST
    MADISON, WI 53715
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
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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