Malone Chiropractic LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

3473-012 Issued in WI

Legal business name

MALONE CHIROPRACTIC LLC

Practice address

2305 30TH Ave
Suite 2
Kenosha, WI 53144-1411

Phone

(262) 597-9700

Fax

(262) 597-9977

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey T Malone, DC

Title

Doctor

Phone

(262) 597-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972720647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 30TH AVE",
            "address_2": "SUITE 2",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441411",
            "telephone_number": "262-597-9700",
            "fax_number": "262-597-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 30TH AVE",
            "address_2": "SUITE 2",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441411",
            "telephone_number": "262-597-9700",
            "fax_number": "262-597-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALONE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "262-597-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "3473-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38939400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Main, MD
• Mary Mainland, M.D.
• Alison Nicole Makinen, OTR/L
• Making a Difference Community Services
• Natasha Shafiq Malik, DMD
• Sandra J. Malone, CSAC
• Alisha Fay Maly, PA
• Ramanuja R Manda, MD FACC FCCP
• Kimberly L Mano
• Isaac D. W. Mansur, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.