Provider Demographics
NPI:1174040752
Name:CHIPPEWA SOLUTIONS LLC
Entity Type:Organization
Organization Name:CHIPPEWA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-588-4845
Mailing Address - Street 1:1210 BROADWAY ST STE 240
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-2664
Mailing Address - Country:US
Mailing Address - Phone:225-588-4845
Mailing Address - Fax:225-612-6561
Practice Address - Street 1:1210 BROADWAY ST STE 240
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-2664
Practice Address - Country:US
Practice Address - Phone:225-588-4845
Practice Address - Fax:225-612-6561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty