Provider Demographics
NPI:1467423434
Name:YEOMANS, STEVEN G (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:YEOMANS
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 1:404 EUREKA ST
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:WI
Mailing Address - Zip Code:54971-1192
Mailing Address - Country:US
Mailing Address - Phone:920-748-3644
Mailing Address - Fax:
Practice Address - Street 1:404 EUREKA ST
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:WI
Practice Address - Zip Code:54971-1192
Practice Address - Country:US
Practice Address - Phone:920-748-3644
Practice Address - Fax:920-748-3642
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1513111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38762100Medicaid
WI391431452013OtherBLUE CROSS
WIT63725Medicare UPIN
WI391431452013OtherBLUE CROSS