Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1600 | OH |
NPI | 1023175858 |
---|---|
Provider Name | Dr. Francis Paul Yanek |
First Address | Poland, OH 44514-1959 |
Second Address | Poland, OH 44514-1959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000135891 | ANTHEM (01) | OH |
0788018 | (05) | OH |
759278 | HIGHMARK (01) | OH |
U08715 | (02) | OH |