NICHOLAS ALLAN LUEDDECKE


Address: 101709 Fence Rd, Abbotsford, WI 54405-5400
Phone: 7152553914

NICHOLAS ALLAN LUEDDECKE (NPI# 1952916108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952916108
Entity Type Individual
Full Name NICHOLAS ALLAN LUEDDECKE
Practice Address 101709 Fence Rd
Abbotsford
WI 54405-5400
Practice Telephone 7152553914
Mailing Telephone 7152553914
Enumeration Date 2020-09-14
Last Update Date 2020-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 101709 FENCE RD
City ABBOTSFORD
State WI
Zip Code 54405-5400

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659984425 Kathryn Jennifer Schmidt Physical Therapy Assistant Abbotsford Healthcare Center, 600 E Elm St, Abbotsford, WI 54405 2020-08-31
1073096103 Trista Holly Raycher Counselor 106 Galvin Rd, Abbotsford, WI 54405 2018-09-14
1861938631 Ted Obermann Counselor 106 Galvin Rd., Abbotsford, WI 54405 2017-01-17
1194079020 Engel Chiropractic LLC Chiropractor 109 N 4th Street, Abbotsford, WI 54405 2012-10-30
1376641530 Robin G Frank Chiropractor 601 East Spruce St., Box 488, Abbotsford, WI 54405 2006-09-20
1356398267 Abbotsford Volunteer Fire Ambulance 203 E Birch, Abbotsford, WI 54405 2006-05-27
1508840992 Raeann Wichlacz Counselor 106 Galvin Road, Abbotsford, WI 54405 2005-11-30
1548793235 Jaclene Elizabeth Newell Counselor 106 Galvin Rd., P.o. 447, Abbotsford, WI 54405 2017-04-10
1407245335 Lanny Parker Counselor 106 Galvin Road, Abbotsford, WI 54405 2015-01-15
1942622162 Luke Timothy Pernsteiner Chiropractor 109 N 4th St, Abbotsford, WI 54405 2014-01-07
Find all providers in zip 54405

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881058501 Sukhpreet K. Gill Student in an Organized Health Care Education/Training Program 32126 Ashcroft Dr, Abbotsford, B.C. V2T 5C4 2016-04-08
1053775825 Harpreet K Gill Student in an Organized Health Care Education/Training Program 32126 Ashcroft Dr., Abbotsford, BRITISH COLUMBIA V2T 5C4 2016-04-07
1023472800 Britlynn Chan Student in an Organized Health Care Education/Training Program 2879 Glenavon Street, Abbotsford, BRITISH COLUMBIA V3G 1G6 2016-04-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275130213 Najla Ba Sharahil Student in an Organized Health Care Education/Training Program 600 Highland Avenue University of Wisconsin Hospitals A, Office H4/466, Madison, WI 53792-4108 2020-10-02
1730796079 Brook Kmiecik Student in an Organized Health Care Education/Training Program 9198a Thrall Rd, Woodruff, WI 54568-9329 2020-09-30
1104432608 Lauren Blunt Student in an Organized Health Care Education/Training Program 3913 E Hazelbranch Ln, Oak Creek, WI 53154-6637 2020-09-20
1639784598 Charmaine Renee Farrille Student in an Organized Health Care Education/Training Program 6345 Pheasant Ln Apt 57c, Middleton, WI 53562-2242 2020-09-08
1407469505 Abigail Koby Student in an Organized Health Care Education/Training Program 1802 E Sauk Rd Unit 8, Grafton, WI 53024-9750 2020-08-28
1427660141 Taylor Rae Schneider Student in an Organized Health Care Education/Training Program 2635 S 91st St, West Allis, WI 53227-2422 2020-08-24
1841802840 Brandi Hardy Student in an Organized Health Care Education/Training Program 1477 S Knowles Ave Ste 120, New Richmond, WI 54017-2543 2020-08-20
1588275226 Benjamin N Wasserman Student in an Organized Health Care Education/Training Program 3487 N Lake Dr, Milwaukee, WI 53211-2919 2020-08-16
1902416969 Cynthia Iradukunda Student in an Organized Health Care Education/Training Program University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 2020-08-05
1144830480 Eve E Viner Student in an Organized Health Care Education/Training Program 122 10th St S, La Crosse, WI 54601-4113 2020-08-02
Find all providers with the same taxonomy

Competitor

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City ABBOTSFORD
Zip Code 54405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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