Healthcare Provider Details
I. General information
NPI: 1578757886
Provider Name (Legal Business Name): BEECK FAMILY CHIROPRACTIC AND ACUPUNCTURE CLINIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2007
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 EAST 2ND STREET
ALCESTER SD
57001-0000
US
IV. Provider business mailing address
PO BOX 647
ALCESTER SD
57001-0647
US
V. Phone/Fax
- Phone: 605-934-2570
- Fax: 605-934-2571
- Phone: 605-934-2570
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | 745 |
| License Number State | SD |
VIII. Authorized Official
Name:
VALERE
LANE
BEECK
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 605-934-2570