Provider Demographics
NPI:1982281499
Name:ROEDL, CADY FRANCES (DC)
Entity Type:Individual
Prefix:
First Name:CADY
Middle Name:FRANCES
Last Name:ROEDL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CADY
Other - Middle Name:FRANCES
Other - Last Name:ROEDL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CADY ROEDL
Mailing Address - Street 1:2205 N SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3310
Mailing Address - Country:US
Mailing Address - Phone:608-244-0044
Mailing Address - Fax:608-244-2773
Practice Address - Street 1:2205 N SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3310
Practice Address - Country:US
Practice Address - Phone:608-244-0044
Practice Address - Fax:608-244-2773
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5633-1111N00000X
WI5633-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38730500Medicaid
WI1083735583OtherOTHER INSURANCES