Provider Demographics
NPI:1497037964
Name:YANEZ, RYAN ALAN (DC)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:ALAN
Last Name:YANEZ
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 1:6780 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1283
Mailing Address - Country:US
Mailing Address - Phone:248-879-8144
Mailing Address - Fax:248-879-8144
Practice Address - Street 1:42950 SCHOENHERR
Practice Address - Street 2:BI COUNTY CHIROPRACTIC
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-2852
Practice Address - Country:US
Practice Address - Phone:586-247-0100
Practice Address - Fax:586-247-1350
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor