Individual
JEFFREY C MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3205 E WASHINGTON AVE, MADISON, WI 53704-4332
(608) 249-7657
(608) 249-7728
Mailing address
3205 E WASHINGTON AVE, MADISON, WI 53704-4332
(608) 249-7657
(608) 249-7728
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1576
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38764300
—
WI
Enumeration date
08/17/2005
Last updated
11/08/2012
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