Provider Demographics
NPI:1669525630
Name:BUDISH, NANCY A (DC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:BUDISH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N88W16644 APPLETON AVE
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-2853
Mailing Address - Country:US
Mailing Address - Phone:262-255-6250
Mailing Address - Fax:262-255-4844
Practice Address - Street 1:N88W16644 APPLETON AVE
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-2853
Practice Address - Country:US
Practice Address - Phone:262-255-6250
Practice Address - Fax:262-255-4844
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor