Jeffrey W Hall, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2137012 Issued in WI

Practice address

6923 39TH Avenue
Kenosha, WI 53142-7129

Phone

(262) 657-8082

Fax

(262) 657-8974

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wisconsin Tele-Med Network

  • Family Nurse Practitioner
  • Kenosha, WI
  • NPI 1568821841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578616355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 39TH AVENUE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427129",
            "telephone_number": "262-657-8082",
            "fax_number": "262-657-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 39TH AVENUE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427129",
            "telephone_number": "262-657-8082",
            "fax_number": "262-657-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2137012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38796200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Haessly
• Hesham Hafez
• Sarai Hagopian, OTR
• Justin Hahn, LCSW
• Jason Hajduk
• Sarah Michelle Hall
• Karen Marie Halter, RN
• Rodney J Halvorsen, M.D.
• Jennifer Hamann
• Gada Hamed, PHARMD

• Chiropractor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.