Provider Demographics
NPI:1396789368
Name:NEFF, GEORGE A
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:A
Last Name:NEFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 DODGE RD NE
Mailing Address - Street 2:STE 104
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2411
Mailing Address - Country:US
Mailing Address - Phone:319-366-2225
Mailing Address - Fax:319-366-1726
Practice Address - Street 1:1950 DODGE RD NE
Practice Address - Street 2:STE 104
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2411
Practice Address - Country:US
Practice Address - Phone:319-366-2225
Practice Address - Fax:319-366-1726
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2189027Medicaid
IA2189027Medicaid
IA13590Medicare ID - Type Unspecified