Hall, Jerijo Marie

Hall, Jerijo Marie is an individual health care provider with primary practice located at 2728 Hillside Dr , Delafield WI 53018-2164. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Hall, Jerijo Marie can be contacted via phone (262) 303-4252.

Contact Information

Primary practice address
2728 Hillside Dr Delafield WI 53018-2164
Phone: (262) 303-4252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038010283 Illinois
Chiropractic Providers / Chiropractor 111N00000X 5433-12 Wisconsin

Profile Details

NPI number 1225077555
LBN Legal business name Hall, Jerijo Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 3rd, 2019 - about 7 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 1225077555 NPPES
Illinois Other 1635113 BLUE CROSS ID #
Illinois Other 211550 BLUE CROSS ID #
Illinois Other K32013 BLUE CROSS ID #
Illinois Other 214291 BLUE CROSS ID #
Illinois Other K17158 BLUE CROSS ID #

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