Individual
JAY JEFFREY ROMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2900 N 117TH ST, WAUWATOSA, WI 53222-4106
(414) 774-6757
Mailing address
2900 N 117TH ST, WAUWATOSA, WI 53222-4106
(414) 774-6757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4100-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38960300
—
WI
Enumeration date
05/19/2006
Last updated
03/15/2013
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