Provider Demographics
NPI:1992863831
Name:OLES, JEFFREY M (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:OLES
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 1:140 S 1ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-4317
Mailing Address - Country:US
Mailing Address - Phone:414-271-1717
Mailing Address - Fax:414-271-1727
Practice Address - Street 1:140 S 1ST ST STE 101
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-4317
Practice Address - Country:US
Practice Address - Phone:414-271-1717
Practice Address - Fax:414-271-1727
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI70560OtherMEDICARE PIN#
WISEQ#0002Medicare ID - Type Unspecified
U34808Medicare UPIN