Provider Demographics
NPI:1801985916
Name:YOHE, DAWN M (DC)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:M
Last Name:YOHE
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 1:3880 TANGLEFOOT COURT
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-0000
Mailing Address - Country:US
Mailing Address - Phone:563-370-4687
Mailing Address - Fax:563-732-3100
Practice Address - Street 1:127 WEST 4TH STREET
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:IA
Practice Address - Zip Code:52778-1151
Practice Address - Country:US
Practice Address - Phone:563-732-3100
Practice Address - Fax:563-732-3100
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0435032Medicaid
IA0435032Medicaid