Healthcare Provider Details

I. General information

NPI: 1528476181
Provider Name (Legal Business Name): YOON FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 OLD YORK RD STE 209
ELKINS PARK PA
19027-1426
US

IV. Provider business mailing address

8080 OLD YORK RD STE 209
ELKINS PARK PA
19027-1426
US

V. Phone/Fax

Practice location:
  • Phone: 215-782-2001
  • Fax:
Mailing address:
  • Phone: 215-782-2001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK001025
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009913
License Number StatePA

VIII. Authorized Official

Name: JINMO YOON
Title or Position: PRESIDENT
Credential:
Phone: 215-782-2001