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NPI Code Detail

MEDICARE: DR. ERIK YOUNGINER D.C.

MEDICARE: DR. ERIK YOUNGINER D.C.
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
1111N00000XChiropractor2602SC

Other Identifiers

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

General Provider Information

NPI Number : 1063472223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIK YOUNGINER D.C.
Provider Business Mailing Address
First Line : 612 OTT STREET
Second Line :
City : COLUMBIA
State : SC
Zip : 29205-1846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 612 OTT STREET
Second Line :
City : COLUMBIA
State : SC
Zip : 29205-1846
Country : US
Telephone Number : 803-799-7101
Fax Number : 803-799-7105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 12/23/2008

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Directions to “ DR. ERIK YOUNGINER D.C.” Practice Location

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