Organization
MALONE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY T MALONE DC (DOCTOR)
(262) 597-9700
Entity
Organization
Contact information
Practice address
2305 30TH AVE, SUITE 2, KENOSHA, WI 53144-1411
(262) 597-9700
(262) 597-9977
Mailing address
2305 30TH AVE, SUITE 2, KENOSHA, WI 53144-1411
(262) 597-9700
(262) 597-9977
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
3473-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38939400
—
WI
Enumeration date
04/20/2007
Last updated
08/22/2020
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