Dudak, Philip S

Dudak, Philip S is an individual health care provider with primary practice located at 11133 Dunn Rd , Saint Louis MO 63136-6163. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dudak, Philip S can be contacted via phone (314) 653-5228.

Contact Information

Primary practice address
11133 Dunn Rd Saint Louis MO 63136-6163
Phone: (314) 653-5228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 005778 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2013003629 Missouri
Chiropractic Providers / Chiropractor 111N00000X 038006559 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209010226 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013003629 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010226 Illinois

Profile Details

NPI number 1720067051
LBN Legal business name Dudak, Philip S
Credentials DC, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 29th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720067051 NPPES
Illinois Other 118828 BCBS
Illinois Other 4400267 BCBS

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