Provider Demographics
NPI:1710527478
Name:YOREK, DANIELLE B (DC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:B
Last Name:YOREK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23854 95TH AVE
Mailing Address - Street 2:
Mailing Address - City:RANDALL
Mailing Address - State:MN
Mailing Address - Zip Code:56475-2533
Mailing Address - Country:US
Mailing Address - Phone:320-630-8641
Mailing Address - Fax:
Practice Address - Street 1:16541 HAVEN RD
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-6401
Practice Address - Country:US
Practice Address - Phone:320-632-6757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor