Healthcare Provider Details

I. General information

NPI: 1497541734
Provider Name (Legal Business Name): NOAH ALAN YARMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 E BURWELL AVE
LOUDONVILLE OH
44842-9504
US

IV. Provider business mailing address

226 E BURWELL AVE
LOUDONVILLE OH
44842-9504
US

V. Phone/Fax

Practice location:
  • Phone: 419-994-5222
  • Fax: 419-994-5222
Mailing address:
  • Phone: 419-994-5222
  • Fax: 419-994-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-05450
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: