Provider Demographics
NPI:1700985702
Name:YANG, WEI CHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:WEI CHEN
Middle Name:
Last Name:YANG
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 1:10640 N COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46280-1047
Mailing Address - Country:US
Mailing Address - Phone:317-819-4910
Mailing Address - Fax:317-819-4911
Practice Address - Street 1:10640 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46280-1047
Practice Address - Country:US
Practice Address - Phone:317-819-4910
Practice Address - Fax:317-819-4911
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001810A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU62447Medicare UPIN
IN228890Medicare ID - Type Unspecified