Provider Demographics
NPI:1558441824
Name:YUHASZ, KATHY MAE (DC)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:MAE
Last Name:YUHASZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1965 DOMINION WAY
Mailing Address - Street 2:STE 130
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1449
Mailing Address - Country:US
Mailing Address - Phone:719-594-9700
Mailing Address - Fax:719-594-9701
Practice Address - Street 1:1965 DOMINION WAY
Practice Address - Street 2:STE 130
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1449
Practice Address - Country:US
Practice Address - Phone:719-594-9700
Practice Address - Fax:719-594-9701
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO504178Medicare ID - Type UnspecifiedYUHASZ CHIROPRACTIC, PC
COC504168Medicare ID - Type UnspecifiedDR KATHY M YUHASZ, DC
COU96069Medicare UPIN