Individual
DR. JEFFREY W HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6923 39TH AVENUE, KENOSHA, WI 53142-7129
(262) 657-8082
(262) 657-8974
Mailing address
6923 39TH AVENUE, KENOSHA, WI 53142-7129
(262) 657-8082
(262) 657-8974
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2137012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38796200
—
WI
Enumeration date
01/18/2007
Last updated
07/08/2007
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