Provider Demographics
NPI:1629079256
Name:TEFF, JOSEPH JEROME (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JEROME
Last Name:TEFF
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 1:6417 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
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1557 - 012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor