Provider Demographics
NPI:1932164001
Name:YUE, VERONIKA K (DC)
Entity Type:Individual
Prefix:
First Name:VERONIKA
Middle Name:K
Last Name:YUE
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 1:5632 N 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-2403
Mailing Address - Country:US
Mailing Address - Phone:602-249-4933
Mailing Address - Fax:602-249-9256
Practice Address - Street 1:5632 N 19TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2403
Practice Address - Country:US
Practice Address - Phone:602-249-4933
Practice Address - Fax:602-249-9256
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5108111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU46836Medicare UPIN
AZ103084Medicare ID - Type Unspecified