Healthcare Provider Details

I. General information

NPI: 1407481575
Provider Name (Legal Business Name): GEPFREY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5088 PLEASANT AVE
FAIRFIELD OH
45014-2518
US

IV. Provider business mailing address

5088 PLEASANT AVE
FAIRFIELD OH
45014-2518
US

V. Phone/Fax

Practice location:
  • Phone: 513-863-0464
  • Fax:
Mailing address:
  • Phone: 513-863-0464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL GEPFREY
Title or Position: CEO
Credential: DC
Phone: 513-863-0464