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NPI Code Detail

MEDICARE: DEBORAH YEAKLE SINCLAIR D.C.

MEDICARE: DEBORAH YEAKLE SINCLAIR D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301007345MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164485207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH YEAKLE SINCLAIR D.C.
Provider Business Mailing Address
First Line : 8080 RITZ PINE DR NE
Second Line :
City : ROCKFORD
State : MI
Zip : 49341-8745
Country : US
Telephone Number : 616-874-1120
Fax Number :
Provider Business Practice Location Address
First Line : 710 E WASHINGTON ST
Second Line :
City : GREENVILLE
State : MI
Zip : 48838-2054
Country : US
Telephone Number : 616-754-9172
Fax Number : 616-754-1067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 07/08/2007

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