Provider Demographics
NPI:1720173495
Name:YERKEY, JOHN DEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DEAN
Last Name:YERKEY
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 1:824 BEV ROAD
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512
Mailing Address - Country:US
Mailing Address - Phone:330-729-1100
Mailing Address - Fax:330-729-1101
Practice Address - Street 1:824 BEV ROAD
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512
Practice Address - Country:US
Practice Address - Phone:330-729-1100
Practice Address - Fax:330-729-1101
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3228111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000210288OtherANTHEM
OH341964808OtherTAX ID
OH607277100OtherDEPT OF LABOR
OH2263456Medicaid
OH7974310OtherAETNA
OH409748OtherCARELINK
OHDD3566OtherRAIL ROAD MEDICARE
OHYE4058062Medicare ID - Type UnspecifiedMEDICARE
OH341964808OtherTAX ID