Provider Demographics
NPI:1275697674
Name:HOOKER-YASKO PC
Entity Type:Organization
Organization Name:HOOKER-YASKO PC
Other - Org Name:EASTERN CHIROPRACTIC AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:YASKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-655-0123
Mailing Address - Street 1:4735 NORREL DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-3603
Mailing Address - Country:US
Mailing Address - Phone:205-655-0123
Mailing Address - Fax:205-655-0466
Practice Address - Street 1:4735 NORREL DR
Practice Address - Street 2:SUITE 5
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-3603
Practice Address - Country:US
Practice Address - Phone:205-655-0123
Practice Address - Fax:205-655-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty