Provider Demographics
NPI:1881752814
Name:HALLEN, JOCELYN KINGA (DC)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:KINGA
Last Name:HALLEN
Suffix:
Gender:F
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:S31W24757 SUNSET DR
Mailing Address - Street 2:BADGER HEALTH CENTER SC
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53189-7014
Mailing Address - Country:US
Mailing Address - Phone:262-547-2250
Mailing Address - Fax:262-547-2775
Practice Address - Street 1:S31W24757 SUNSET DR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53189-7014
Practice Address - Country:US
Practice Address - Phone:262-547-2250
Practice Address - Fax:262-547-2775
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3584-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor