Provider Demographics
NPI:1609056142
Name:GEVING, JEFFREY EUGENE (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:EUGENE
Last Name:GEVING
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 1:1918 HIGHWAY 18 E
Mailing Address - Street 2:
Mailing Address - City:ALGONA
Mailing Address - State:IA
Mailing Address - Zip Code:50511-1200
Mailing Address - Country:US
Mailing Address - Phone:515-395-1330
Mailing Address - Fax:515-395-1332
Practice Address - Street 1:1918 HIGHWAY 18 E
Practice Address - Street 2:
Practice Address - City:ALGONA
Practice Address - State:IA
Practice Address - Zip Code:50511-1200
Practice Address - Country:US
Practice Address - Phone:515-395-1330
Practice Address - Fax:515-395-1332
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0478289Medicaid
IAI16703Medicaid
IA07759Medicare UPIN