Provider Demographics
NPI:1669584090
Name:YAKOVAC, ROBERT LEONARD (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEONARD
Last Name:YAKOVAC
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 1:300 CEDAR BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1155
Mailing Address - Country:US
Mailing Address - Phone:412-563-8211
Mailing Address - Fax:412-563-8213
Practice Address - Street 1:300 CEDAR BLVD STE 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1155
Practice Address - Country:US
Practice Address - Phone:412-563-8211
Practice Address - Fax:412-563-8213
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003599-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1932391695OtherGROUP NPI
PA2077348Medicaid
PAYA538030OtherHIGHMARK DR YAKOVAC NUMBE
PAYA855578OtherHIGHMARK CLINIC NUMBER
U01419Medicare UPIN
538030LL8Medicare ID - Type Unspecified