Provider Demographics
NPI:1588483218
Name:BIRKEL, PAYTON ELIZABETH (DC)
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:ELIZABETH
Last Name:BIRKEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6428 W 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-1973
Mailing Address - Country:US
Mailing Address - Phone:402-340-9665
Mailing Address - Fax:
Practice Address - Street 1:7520 S GRAND ARBOR CT STE 115
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-3453
Practice Address - Country:US
Practice Address - Phone:605-496-9656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor