Provider Demographics
NPI:1720199771
Name:YARASHESKI, DAVID RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RICHARD
Last Name:YARASHESKI
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 1:233 STRAW POND SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28366-6777
Mailing Address - Country:US
Mailing Address - Phone:910-567-2709
Mailing Address - Fax:
Practice Address - Street 1:233 STRAW POND SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:NEWTON GROVE
Practice Address - State:NC
Practice Address - Zip Code:28366-6777
Practice Address - Country:US
Practice Address - Phone:910-567-2709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2447308Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NC2447308Medicare UPIN