Provider Demographics
NPI:1689729204
Name:YORK SERVICES LLC
Entity Type:Organization
Organization Name:YORK SERVICES LLC
Other - Org Name:GENESIS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:YORK
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:623-937-6151
Mailing Address - Street 1:6750 W OLIVE AVE
Mailing Address - Street 2:SUITE 117
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-8888
Mailing Address - Country:US
Mailing Address - Phone:623-937-6151
Mailing Address - Fax:623-979-7097
Practice Address - Street 1:6750 W OLIVE AVE
Practice Address - Street 2:SUITE 117
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-8888
Practice Address - Country:US
Practice Address - Phone:623-937-6151
Practice Address - Fax:623-979-7097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty