Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC009815 | PA |
NPI | 1003045451 |
---|---|
Provider Name | Dr. Chae Eun Yeo |
First Address | Warrendale, PA 15086-7540 |
Second Address | Warrendale, PA 15086-7540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2009 |
Last Update Date | 07/07/2009 |