Judson Chubbuck is a Professional in Milwaukee, Wisconsin. Judson Chubbuck practices all healthcare services and medical treatments related to Professional. The NPI Number for Judson Chubbuck is 1245393388. The last update date is 2009-02-05.
Judson Chubbuck's current location address is 4928 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4147741052. The mailing address for Judson Chubbuck is 4928 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judson Chubbuck |
|---|---|
| Address | 4928 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4147741052 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1245393388 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2009-02-05 |
Provider Mailing Address Detail
| Address | 4928 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532083052 |
| Phone Number | 4147741052 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 3233125 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40963300 | WI | -- |
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What is the Judson Chubbuck's unique identification number?
The Judson Chubbuck has been assigned the NPI (National Provider Identifier) Number 1245393388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Judson Chubbuck?
The Judson Chubbuck is physically situated at 4928 W Wisconsin Ave, in the city of Milwaukee, state of WI, with the postal code 532083052.
What is the Judson Chubbuck's specialty and taxonomy code?
The Judson Chubbuck's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245393388 to Judson Chubbuck?
The Centers for Medicare & Medicaid Services originally issued the 1245393388 to Judson Chubbuck on 2006-12-19.
When was the Judson Chubbuck's information last updated?
The Judson Chubbuck's information was last updated on 2009-02-05.