Provider Demographics
NPI:1548288681
Name:EGGERS, DAVID V (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:EGGERS
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 1:3405 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-4417
Mailing Address - Country:US
Mailing Address - Phone:605-693-7222
Mailing Address - Fax:605-693-6614
Practice Address - Street 1:3405 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-4417
Practice Address - Country:US
Practice Address - Phone:605-693-7222
Practice Address - Fax:605-693-6614
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD547111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7600280Medicaid
SD0085091OtherBLUECROSS AND BLUE SHIELD
SDS100543Medicare PIN
SD7600280Medicaid