Healthcare Provider Details

I. General information

NPI: 1780806893
Provider Name (Legal Business Name): YERKEY CHIROPRACTIC HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 BEV ROAD
BOARDMAN OH
44512
US

IV. Provider business mailing address

824 BEV ROAD
BOARDMAN OH
44512
US

V. Phone/Fax

Practice location:
  • Phone: 330-729-1100
  • Fax: 330-729-1101
Mailing address:
  • Phone: 330-729-1100
  • Fax: 330-729-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC3228
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number3228
License Number StateOH

VIII. Authorized Official

Name: JOHN DEAN YERKEY
Title or Position: PRESIDENT
Credential: DC
Phone: 330-729-1100