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Contact Information

CHIPPEWA VALLEY FOOT AND ANKLE CLINIC SC
4212 SOUTHTOWN DR
EAU CLAIRE, WI54701-2635
 Phone: 715-832-1400
 Fax: 715-832-4187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for CHIPPEWA VALLEY FOOT AND ANKLE CLINIC SC · (Female)

NPI # 1689734873
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2006
Last updated 06/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 848-025
  • WI Medicaid 43266700
  • WI Other DB9751 MEDICARE RAILROAD
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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