Provider Demographics
NPI:1154456085
Name:BEECK, VALERE LANE (DC)
Entity Type:Individual
Prefix:DR
First Name:VALERE
Middle Name:LANE
Last Name:BEECK
Suffix:
Gender:F
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:PO BOX 647
Mailing Address - Street 2:110 E 2ND ST
Mailing Address - City:ALCESTER
Mailing Address - State:SD
Mailing Address - Zip Code:57001
Mailing Address - Country:US
Mailing Address - Phone:605-934-2570
Mailing Address - Fax:605-934-2571
Practice Address - Street 1:110 E 2ND ST
Practice Address - Street 2:
Practice Address - City:ALCESTER
Practice Address - State:SD
Practice Address - Zip Code:57001
Practice Address - Country:US
Practice Address - Phone:605-934-2570
Practice Address - Fax:605-934-2571
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD76035500Medicaid
SD76035500Medicaid
U16521Medicare UPIN