Healthcare Provider Details

I. General information

NPI: 1033098728
Provider Name (Legal Business Name): YC CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 OAK MANOR DR STE 101
GLEN BURNIE MD
21061-5553
US

IV. Provider business mailing address

331 OAK MANOR DR STE 101
GLEN BURNIE MD
21061-5553
US

V. Phone/Fax

Practice location:
  • Phone: 410-766-4878
  • Fax: 410-766-6619
Mailing address:
  • Phone: 410-766-4878
  • Fax: 410-766-6619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALAN K SOKOLOFF
Title or Position: OWNER
Credential: DC
Phone: 410-766-4878