Provider Demographics
NPI:1689086597
Name:YODER, LUKE B (DC)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:B
Last Name:YODER
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:PO BOX 838
Mailing Address - Street 2:
Mailing Address - City:SKIPPACK
Mailing Address - State:PA
Mailing Address - Zip Code:19474-0838
Mailing Address - Country:US
Mailing Address - Phone:610-584-6720
Mailing Address - Fax:610-585-0269
Practice Address - Street 1:4282 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-2402
Practice Address - Country:US
Practice Address - Phone:260-490-3400
Practice Address - Fax:260-489-5930
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002776A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor