Provider Demographics
NPI:1821248899
Name:YANKE BIONICS INC
Entity Type:Organization
Organization Name:YANKE BIONICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:YANKE
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:330-762-6411
Mailing Address - Street 1:303 W EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1708
Mailing Address - Country:US
Mailing Address - Phone:330-762-6411
Mailing Address - Fax:330-762-4110
Practice Address - Street 1:380 N. MAIN ST.
Practice Address - Street 2:SUITE L101
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44902
Practice Address - Country:US
Practice Address - Phone:419-529-2300
Practice Address - Fax:419-529-3800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000155804OtherANTHEM BC/BS
OH6616880Medicaid
OH6616880Medicaid