MEDICARE: DR. MICHAEL STEPHEN YORK 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
1	111N00000X	Chiropractor	16091	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16091	OTHER	CA	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1710997325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL STEPHEN YORK D.C.

Provider Business Mailing Address
First Line	:	5350 HOLLISTER AVE
Second Line	:	A3
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2326
Country	:	US
Telephone Number	:	805-681-7322
Fax Number	:	805-681-5072

Provider Business Practice Location Address
First Line	:	5350 HOLLISTER AVE
Second Line	:	A3
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2326
Country	:	US
Telephone Number	:	805-681-7322
Fax Number	:	805-681-5072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	07/08/2007

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