Provider Demographics
NPI:1992854467
Name:YEVINS, JARED STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:STEPHEN
Last Name:YEVINS
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 1:409 BROAD ST
Mailing Address - Street 2:SUITE 101 A
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1557
Mailing Address - Country:US
Mailing Address - Phone:412-741-5451
Mailing Address - Fax:412-741-5452
Practice Address - Street 1:409 BROAD ST
Practice Address - Street 2:SUITE 101 A
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1557
Practice Address - Country:US
Practice Address - Phone:412-741-5451
Practice Address - Fax:412-741-5452
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC 009739111N00000X
PAAJ 009545111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAYE1930474OtherBLUE CROSS
PAYE1930474OtherBLUE CROSS