MEDICARE: ZAK ALFSTAD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1218	SD

General Provider Information

NPI Number	:	1093067993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAK ALFSTAD D.C.

Provider Business Mailing Address
First Line	:	811 DISK DR
Second Line	:	# 101
City	:	RAPID CITY
State	:	SD
Zip	:	57701-7947
Country	:	US
Telephone Number	:	605-644-9074
Fax Number	:	605-722-0306

Provider Business Practice Location Address
First Line	:	811 DISK DR
Second Line	:	# 101
City	:	RAPID CITY
State	:	SD
Zip	:	57701-7947
Country	:	US
Telephone Number	:	605-791-3222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2012
Last Update Date	:	06/13/2018

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Directions to “ ZAK ALFSTAD D.C.” Practice Location

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