Provider Demographics
NPI:1609011022
Name:ALBIERO, JEFFREY A (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:ALBIERO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 HARRIS DR
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-9003
Mailing Address - Country:US
Mailing Address - Phone:262-284-9400
Mailing Address - Fax:262-284-8999
Practice Address - Street 1:1560 HARRIS DR
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-9003
Practice Address - Country:US
Practice Address - Phone:262-284-9400
Practice Address - Fax:262-284-8999
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4458-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor