Provider Demographics
NPI:1639358526
Name:ASKLAND-YOHE CHIROPRACTIC, LTD
Entity Type:Organization
Organization Name:ASKLAND-YOHE CHIROPRACTIC, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:G
Authorized Official - Last Name:YOHE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-237-0614
Mailing Address - Street 1:2800 UNIVERSITY DR S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6030
Mailing Address - Country:US
Mailing Address - Phone:701-237-0614
Mailing Address - Fax:701-237-0615
Practice Address - Street 1:2800 UNIVERSITY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6030
Practice Address - Country:US
Practice Address - Phone:701-237-0614
Practice Address - Fax:701-237-0615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND13068Medicaid
MN346727900Medicaid
NDDB3676Medicare PIN
ND13068Medicaid