Provider Demographics
NPI:1952400426
Name:JIRAS, JEFFREY THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:THOMAS
Last Name:JIRAS
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 1:410 STATE ST NW
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:IA
Mailing Address - Zip Code:52322-9196
Mailing Address - Country:US
Mailing Address - Phone:319-828-4258
Mailing Address - Fax:
Practice Address - Street 1:410 STATE ST NW
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:IA
Practice Address - Zip Code:52322-9196
Practice Address - Country:US
Practice Address - Phone:319-828-4258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor