Individual
THOMAS P. YANKUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
725 BOARDMAN CANFIELD ROAD, SUITE A1, BOARDMAN, OH 44512-4374
(330) 726-0151
(330) 726-6540
Mailing address
725 BOARDMAN CANFIELD ROAD, SUITE A1, BOARDMAN, OH 44512-4374
(330) 726-0151
(330) 726-6540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481858
—
OH
01
—
341370612
FEDERAL TAX ID
OH
01
—
341370612-00
OHIO BWC
OH
Enumeration date
06/09/2005
Last updated
04/01/2014
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