Provider Demographics
NPI:1578757886
Name:BEECK FAMILY CHIROPRACTIC AND ACUPUNCTURE CLINIC P.C.
Entity Type:Organization
Organization Name:BEECK FAMILY CHIROPRACTIC AND ACUPUNCTURE CLINIC P.C.
Other - Org Name:ALCESTER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALERE
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:BEECK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-934-2570
Mailing Address - Street 1:110 EAST 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:ALCESTER
Mailing Address - State:SD
Mailing Address - Zip Code:57001-0000
Mailing Address - Country:US
Mailing Address - Phone:605-934-2570
Mailing Address - Fax:
Practice Address - Street 1:110 EAST 2ND STREET
Practice Address - Street 2:
Practice Address - City:ALCESTER
Practice Address - State:SD
Practice Address - Zip Code:57001-0000
Practice Address - Country:US
Practice Address - Phone:605-934-2570
Practice Address - Fax:605-934-2571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD745261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
U16521Medicare UPIN
S7144Medicare PIN