Provider Demographics
NPI:1437442688
Name:YODER, ALAN R (DC)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:R
Last Name:YODER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16572 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80023-8964
Mailing Address - Country:US
Mailing Address - Phone:720-872-3724
Mailing Address - Fax:720-929-9376
Practice Address - Street 1:16572 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80023-8964
Practice Address - Country:US
Practice Address - Phone:720-872-3724
Practice Address - Fax:720-929-9376
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor