Provider Demographics
NPI:1831319821
Name:YANUCK, SAMUEL F (DC)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:F
Last Name:YANUCK
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 1:329 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:919-401-9500
Mailing Address - Fax:919-401-9900
Practice Address - Street 1:400 SILVER CEDAR CT
Practice Address - Street 2:SUITE 250
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1585
Practice Address - Country:US
Practice Address - Phone:919-942-8516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1931111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor