Healthcare Provider Details

I. General information

NPI: 1548288681
Provider Name (Legal Business Name): DAVID V EGGERS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 6TH ST
BROOKINGS SD
57006-4417
US

IV. Provider business mailing address

3405 6TH ST
BROOKINGS SD
57006-4417
US

V. Phone/Fax

Practice location:
  • Phone: 605-693-7222
  • Fax: 605-693-6614
Mailing address:
  • Phone: 605-693-7222
  • Fax: 605-693-6614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number547
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: