Organization
YORGAN CHIROPRACTIC OFFICE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHN YORGAN D.C. (OWNER)
(262) 884-0484
Entity
Organization
Contact information
Practice address
5401 DOUGLAS AVE, RACINE, WI 53402-2034
(262) 884-0484
Mailing address
5401 DOUGLAS AVE, RACINE, WI 53402-2034
(262) 884-0484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38792200
—
WI
Enumeration date
06/20/2007
Last updated
08/22/2020
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