Provider Demographics
NPI:1366477994
Name:MEFFORD, DAN A (DC)
Entity Type:Individual
Prefix:
First Name:DAN
Middle Name:A
Last Name:MEFFORD
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 1:813 W WASHINGTON ST
Mailing Address - Street 2:P.O. BOX 7
Mailing Address - City:PITTSFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62363-1353
Mailing Address - Country:US
Mailing Address - Phone:217-285-5641
Mailing Address - Fax:
Practice Address - Street 1:813 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:IL
Practice Address - Zip Code:62363-1353
Practice Address - Country:US
Practice Address - Phone:217-285-5641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38-003654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL022174OtherHEALTH ALLICANCE
IL371078387OtherPRIVATE HEALTHCARE SYSTEM
IL651978OtherACN
IL371078387OtherMULTI PLAN
IL0998215OtherBLUE CROSS BLUE SHIELD
IL371078387OtherINTEGRATED HEALTH PLAN
IL731194OtherHEALTHLINK
IL022174OtherHEALTH ALLICANCE
IL0998215OtherBLUE CROSS BLUE SHIELD