Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ch Specialty Services Wi SC

Organization Internal Medicine Physician · NPI 1063115319

Ch Specialty Services Wi SC is an Internal Medicine Physician in Hartford, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1366 E Sumner St # 1002
Hartford, WI 53027-1614
Phone: (337) 408-0797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1063115319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Howard — Sr Vp Of Administrative Services · (337) 408-0797
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address5750 Johnston St Ste 205, Lafayette, LA 70503-5345

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