Black, Chadd David

Black, Chadd David is an individual health care provider with primary practice located at 1049 N Edge Trl , Verona WI 53593-1942. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Black, Chadd David can be contacted via phone (608) 845-2100.

Contact Information

Primary practice address
1049 N Edge Trl Verona WI 53593-1942
Phone: (608) 845-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 520-19 Wisconsin

Profile Details

NPI number 1326680109
LBN Legal business name Black, Chadd David
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2019
Last updated Oct 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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