MEDICARE: YAKOVAC FAMILY/SPORTS CHIROPRACTIC CENTER

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	DC-003599-L	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1932391695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAKOVAC FAMILY/SPORTS CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	266 LIBERTY BLVD
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-5272
Country	:	US
Telephone Number	:	412-425-9591
Fax Number	:

Provider Business Practice Location Address
First Line	:	266 LIBERTY BLVD
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-5272
Country	:	US
Telephone Number	:	412-425-9591
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. ROBERT LEONARD YAKOVAC
Credential	:	D.C.
Telephone Number	:	412-563-8211

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	04/21/2026

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