Provider Demographics
NPI:1942237037
Name:YANKLOWITZ, BARNEY AARON (DPM)
Entity Type:Individual
Prefix:DR
First Name:BARNEY
Middle Name:AARON
Last Name:YANKLOWITZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 LESCHI DR
Mailing Address - Street 2:
Mailing Address - City:STEILACOOM
Mailing Address - State:WA
Mailing Address - Zip Code:98388-1525
Mailing Address - Country:US
Mailing Address - Phone:253-589-3881
Mailing Address - Fax:
Practice Address - Street 1:VAPSHCS ( A-112-POD )
Practice Address - Street 2:6900 VETERANS DR. , SW
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98493-5000
Practice Address - Country:US
Practice Address - Phone:253-582-8440
Practice Address - Fax:253-583-1199
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000969213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U57814Medicare UPIN