MEDICARE: DR. SCOTT E YORKER D.C., P.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
1	111N00000X	Chiropractor	DC006115L	PA

General Provider Information

NPI Number	:	1457533960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT E YORKER D.C., P.C.

Provider Business Mailing Address
First Line	:	PO BOX 63625
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-7425
Country	:	US
Telephone Number	:	215-351-1603
Fax Number	:	215-351-1609

Provider Business Practice Location Address
First Line	:	744 S 4TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-3120
Country	:	US
Telephone Number	:	215-351-1603
Fax Number	:	215-351-1609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	03/14/2017

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