Provider Demographics
NPI:1457533960
Name:YORKER, SCOTT E (DC, PC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:E
Last Name:YORKER
Suffix:
Gender:M
Credentials:DC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 63625
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-7425
Mailing Address - Country:US
Mailing Address - Phone:215-351-1603
Mailing Address - Fax:215-351-1609
Practice Address - Street 1:744 S 4TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-3120
Practice Address - Country:US
Practice Address - Phone:215-351-1603
Practice Address - Fax:215-351-1609
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006115L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA012048SYYMedicare PIN