Provider Demographics
NPI:1609085190
Name:TAN, YOKE T (DC)
Entity Type:Individual
Prefix:DR
First Name:YOKE
Middle Name:T
Last Name:TAN
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 1:525 S 4TH ST STE 254
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1573
Mailing Address - Country:US
Mailing Address - Phone:267-687-7875
Mailing Address - Fax:267-687-7088
Practice Address - Street 1:525 S 4TH ST
Practice Address - Street 2:SUITE 254
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1570
Practice Address - Country:US
Practice Address - Phone:267-687-7875
Practice Address - Fax:267-678-7875
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009450111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor