Provider Demographics
NPI:1427170497
Name:GEIL, JEFFREY ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ALAN
Last Name:GEIL
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 1:9844 HIBERT ST
Mailing Address - Street 2:G 10-11
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1000
Mailing Address - Country:US
Mailing Address - Phone:858-586-7799
Mailing Address - Fax:619-283-5772
Practice Address - Street 1:9844 HIBERT ST
Practice Address - Street 2:G 10-11
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1000
Practice Address - Country:US
Practice Address - Phone:858-586-7799
Practice Address - Fax:619-283-5772
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27328111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor