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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1891861472 NPPES
Wisconsin MEDICAID 38939400

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