Individual
CHRISTOPHER SCOTT YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2940 PROFESSIONAL LANE, TERRE HAUTE, IN 47802-3300
(812) 232-8580
(812) 232-8580
Mailing address
2940 PROFESSIONAL LANE, TERRE HAUTE, IN 47802-3300
(812) 232-8580
(812) 234-7518
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001606
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091653
ANTHEM BC & BS UPIN
IN
05
—
200107460B
—
IN
01
—
350038796
MEDICARE R.R. PROVIDER NU
IN
01
—
351995451
TAX IDENTIFIER NUMBER
IN
Enumeration date
06/08/2005
Last updated
11/07/2012
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