Provider Demographics
NPI:1346712312
Name:DR ERIKA PLLC
Entity Type:Organization
Organization Name:DR ERIKA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-839-0262
Mailing Address - Street 1:449 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-9328
Mailing Address - Country:US
Mailing Address - Phone:972-839-0262
Mailing Address - Fax:877-828-6193
Practice Address - Street 1:2026 VETERANS DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-3220
Practice Address - Country:US
Practice Address - Phone:972-839-0262
Practice Address - Fax:877-828-6193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-01
Last Update Date:2019-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty