Provider Demographics
NPI:1134470081
Name:YER CHIROPRACTIC
Entity Type:Organization
Organization Name:YER CHIROPRACTIC
Other - Org Name:INSIDEOUT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:YER
Authorized Official - Middle Name:TON
Authorized Official - Last Name:CHA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-403-4877
Mailing Address - Street 1:5266 HOLLISTER AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2037
Mailing Address - Country:US
Mailing Address - Phone:805-403-4877
Mailing Address - Fax:951-880-0094
Practice Address - Street 1:5266 HOLLISTER AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93111-2037
Practice Address - Country:US
Practice Address - Phone:805-403-4877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSIDEOUT CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty