Malone, Jeffrey T
Malone, Jeffrey T is an sole proprietor health care provider with primary practice located at 12500 Aurora Dr , Pleasant Prairie WI 53158-1227. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Nutrition, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Malone, Jeffrey T can be contacted via phone (262) 857-5000.Contact Information
Primary practice address
12500 Aurora Dr
Pleasant Prairie WI 53158-1227
Phone: (262) 857-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Nutrition | 111NN1001X | 3473-012 | Wisconsin |
Chiropractic Providers / Chiropractor | 111N00000X | 3473-012 | Wisconsin |
Profile Details
NPI number | 1891861472 |
---|---|
LBN Legal business name | Malone, Jeffrey T |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 27th, 2006 |
Last updated | Jul 18th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891861472 | NPPES |
Wisconsin | MEDICAID | 38939400 |
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