Provider Demographics
NPI:1447360839
Name:GEFFRE, ALAN J (DC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:J
Last Name:GEFFRE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 S PATRICK PL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-5935
Mailing Address - Country:US
Mailing Address - Phone:605-351-1669
Mailing Address - Fax:
Practice Address - Street 1:1707 E 10TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-1805
Practice Address - Country:US
Practice Address - Phone:605-338-8122
Practice Address - Fax:605-332-6337
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor