Healthcare Provider Details

I. General information

NPI: 1609056142
Provider Name (Legal Business Name): JEFFREY EUGENE GEVING D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 HIGHWAY 18 E
ALGONA IA
50511-1200
US

IV. Provider business mailing address

1918 HIGHWAY 18 E
ALGONA IA
50511-1200
US

V. Phone/Fax

Practice location:
  • Phone: 515-395-1330
  • Fax: 515-395-1332
Mailing address:
  • Phone: 515-395-1330
  • Fax: 515-395-1332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number06805
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: