Provider Demographics
NPI:1467772798
Name:PFAFF, ASHLEY M (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:M
Last Name:PFAFF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1911 W 57TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2710
Mailing Address - Country:US
Mailing Address - Phone:605-275-5757
Mailing Address - Fax:160-527-5758
Practice Address - Street 1:1911 W 57TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2710
Practice Address - Country:US
Practice Address - Phone:605-275-5757
Practice Address - Fax:160-527-5758
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD1177111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS104237Medicare PIN