Alloy, Jack M

Alloy, Jack M is an individual health care provider with primary practice located at 8320 W Bluemound Rd Suite 125A, Wauwatosa WI 53213-3367. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Alloy, Jack M can be contacted via phone (414) 302-3859.

Contact Information

Primary practice address
8320 W Bluemound Rd Suite 125A Wauwatosa WI 53213-3367
Phone: (414) 302-3859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3461 Wisconsin

Profile Details

NPI number 1720143837
LBN Legal business name Alloy, Jack M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Nov 18th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720143837 NPPES
Wisconsin MEDICAID 38947000

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