Provider Demographics
NPI:1407924517
Name:TEFF CHIROPRACTIC
Entity Type:Organization
Organization Name:TEFF CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:TEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-827-2020
Mailing Address - Street 1:6417 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3417
Mailing Address - Country:US
Mailing Address - Phone:608-827-2020
Mailing Address - Fax:608-827-2022
Practice Address - Street 1:6417 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3417
Practice Address - Country:US
Practice Address - Phone:608-827-2020
Practice Address - Fax:608-827-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1557 - 012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI=========OtherTAX ID NUMBER
WI=========OtherTAX ID NUMBER