Provider Demographics
NPI:1700999539
Name:ELHOFF, JEFFREY J (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:J
Last Name:ELHOFF
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:PO BOX 620
Mailing Address - Street 2:
Mailing Address - City:LENNOX
Mailing Address - State:SD
Mailing Address - Zip Code:57039-0620
Mailing Address - Country:US
Mailing Address - Phone:605-647-2236
Mailing Address - Fax:605-647-6260
Practice Address - Street 1:109 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:LENNOX
Practice Address - State:SD
Practice Address - Zip Code:57039-0620
Practice Address - Country:US
Practice Address - Phone:605-647-2236
Practice Address - Fax:605-647-6260
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS84002Medicare PIN