Provider Demographics
NPI:1538296470
Name:NEFF, GREGORY C (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:C
Last Name:NEFF
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 1:7800 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1325
Mailing Address - Country:US
Mailing Address - Phone:314-644-2081
Mailing Address - Fax:314-644-2309
Practice Address - Street 1:7800 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63117-1325
Practice Address - Country:US
Practice Address - Phone:314-644-2081
Practice Address - Fax:314-644-2309
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE006689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO389344OtherHEALTHLINK PROVIDER #
MO117530OtherBLUE CROSS PROVIDER #
MO431732700NEFOtherMERCY PROVIDER #
MO61373OtherGHP PROVIDER #
MO627970OtherUNITED HEALTHCARE PROV #
MO61373OtherGHP PROVIDER #
MO000031630Medicare PIN