Provider Demographics
NPI:1629790225
Name:GEIS, CAROLYN CYPHER (DVM)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:CYPHER
Last Name:GEIS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27066 421ST AVE
Mailing Address - Street 2:
Mailing Address - City:PARKSTON
Mailing Address - State:SD
Mailing Address - Zip Code:57366-5202
Mailing Address - Country:US
Mailing Address - Phone:605-350-2119
Mailing Address - Fax:
Practice Address - Street 1:27066 421ST AVE
Practice Address - Street 2:
Practice Address - City:PARKSTON
Practice Address - State:SD
Practice Address - Zip Code:57366-5202
Practice Address - Country:US
Practice Address - Phone:605-350-2119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1897174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty