Individual
DR. JERRID W. GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1010 BALLPARK RD STE 2, STURGIS, SD 57785-2208
(605) 561-0161
Mailing address
1010 BALLPARK RD STE 2, STURGIS, SD 57785-2208
(605) 561-0161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
893
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7604490
—
SD
05
—
7604492
—
SD
Enumeration date
03/29/2006
Last updated
05/10/2023
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