ZD Chudyba, MSOM, LICENSED ACUPU
Individual provider Active NPI Acupuncturist · Midway, UT
NPI 1134615818 · NPPES record last updated Jul 6, 2018
Key facts
- NPI
- 1134615818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 5719233-1201 (UT)
- Practice address
- 41 West Main Street
Ste 1
Midway, UT 84048 - Phone
- (435) 503-5682
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5719233-1201 | UT | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 5719233-1201 | UT | Yes |
Addresses
Primary practice location
41 West Main Street
Ste 1
Midway, UT 84048
Mailing address
41 West Main Street
Ste 1
Midway, UT 84049
Phone (435) 503-5682
Other providers in Midway, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.