Individual provider · Type 1 NPI

Edward T. Jiles

Driver · Milwaukee, WI

NPI number 1760691885 Active

Practice location

1000 N 92nd St
Milwaukee, WI 53226-3533

Fax (414) 259-1663

Mailing address

4044 N 41st St
Milwaukee, WI 53216-1606

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XJ420-2385-3175-04 (WI)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1760691885

Edward T. Jiles's National Provider Identifier is 1760691885, issued on May 22, 2007. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.