Provider Demographics
NPI:1538479084
Name:STEVEN S. YOUKER, D.C., P.A.
Entity Type:Organization
Organization Name:STEVEN S. YOUKER, D.C., P.A.
Other - Org Name:YOUKER CHIROPRACTIC & MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-750-6200
Mailing Address - Street 1:3825 E STATE ROAD 64
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-9019
Mailing Address - Country:US
Mailing Address - Phone:941-750-6200
Mailing Address - Fax:
Practice Address - Street 1:3825 E STATE ROAD 64
Practice Address - Street 2:SUITE 200
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-9019
Practice Address - Country:US
Practice Address - Phone:941-750-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004845261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001873000Medicaid
FL001873000Medicaid