MEDICARE: DR. MATTHEW HAROLD YOST 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
1	111N00000X	Chiropractor	3556	OK

General Provider Information

NPI Number	:	1619028925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW HAROLD YOST D.C.

Provider Business Mailing Address
First Line	:	7144 NW 112TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-2773
Country	:	US
Telephone Number	:	405-728-3184
Fax Number	:	405-728-3186

Provider Business Practice Location Address
First Line	:	7144 NW 112TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-2773
Country	:	US
Telephone Number	:	405-728-3184
Fax Number	:	405-728-3186

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	03/31/2009

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