Provider Demographics
NPI:1114028081
Name:DALEY, JANETTE LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:LEE
Last Name:DALEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JANETTE
Other - Middle Name:LEE
Other - Last Name:MCCOWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:9735 W SAINT MARTINS RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-9830
Mailing Address - Country:US
Mailing Address - Phone:262-492-4556
Mailing Address - Fax:
Practice Address - Street 1:9735 W SAINT MARTINS RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-9624
Practice Address - Country:US
Practice Address - Phone:414-525-9895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010726111N00000X
WI3506-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIU70579Medicare UPIN