Provider Demographics
NPI:1124376629
Name:WILLIAM P YAPP DC PA
Entity Type:Organization
Organization Name:WILLIAM P YAPP DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PERRY
Authorized Official - Last Name:YAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:904-284-4868
Mailing Address - Street 1:1212 IDLEWILD AVE. (HWY 16W)
Mailing Address - Street 2:
Mailing Address - City:GREEN COVE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32043
Mailing Address - Country:US
Mailing Address - Phone:904-284-4868
Mailing Address - Fax:904-284-8059
Practice Address - Street 1:1212 IDLEWILD AVE. (HWY 16W)
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043
Practice Address - Country:US
Practice Address - Phone:904-284-4868
Practice Address - Fax:904-284-8059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4844CHIROPRACTOR111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22292Medicare UPIN