Provider Demographics
NPI:1588034342
Name:CHAUDOIR, CURRY (LAC)
Entity Type:Individual
Prefix:
First Name:CURRY
Middle Name:
Last Name:CHAUDOIR
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W SILVER SPRING DR STE K205
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5057
Mailing Address - Country:US
Mailing Address - Phone:414-332-8888
Mailing Address - Fax:414-332-1888
Practice Address - Street 1:500 W SILVER SPRING DR STE K205
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-5057
Practice Address - Country:US
Practice Address - Phone:414-332-8888
Practice Address - Fax:414-332-1888
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI245-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist