Provider Demographics
NPI:1528394277
Name:YANIK FAMILY WELLNESS, L.L.C.
Entity Type:Organization
Organization Name:YANIK FAMILY WELLNESS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JEREMIAH
Authorized Official - Last Name:YANIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-718-0440
Mailing Address - Street 1:PO BOX 1124
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-0124
Mailing Address - Country:US
Mailing Address - Phone:570-288-8881
Mailing Address - Fax:570-288-8065
Practice Address - Street 1:37 TENER ST
Practice Address - Street 2:
Practice Address - City:LUZERNE
Practice Address - State:PA
Practice Address - Zip Code:18709-1226
Practice Address - Country:US
Practice Address - Phone:570-718-0440
Practice Address - Fax:570-300-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty