Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 2231 | MN |
NPI | 1144498932 |
---|---|
Provider Name | Jay Yefim Cherner |
First Address | Minneapolis, MN 55419-1056 |
Second Address | Minneapolis, MN 55419-1056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2008 |
Last Update Date | 14/02/2008 |