Provider Demographics
NPI:1689493835
Name:JEFF EFFECT LLC
Entity type:Organization
Organization Name:JEFF EFFECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:COPAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-556-5743
Mailing Address - Street 1:1414 E 20TH ST STE 9
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-2712
Mailing Address - Country:US
Mailing Address - Phone:970-556-5743
Mailing Address - Fax:
Practice Address - Street 1:1414 E 20TH ST STE 9
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-2712
Practice Address - Country:US
Practice Address - Phone:970-556-5743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-05
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty