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Individual

DR. SHERRY LYNN YALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
31582 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 664-0339
(734) 855-4969
Mailing address
31582 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 664-0339
(734) 855-4969

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006911
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H28863
BCBSM PIN
MI
01
11283853
CAQH
01
1629198197
NPI TYPE 1
01
2301006911
CHIROPRACTIC LICENSE
MI
01
M550765564696
DRIVER'S LICENSE
MI
01
NC015657
MCARE
MI
01
U19336
UPIN
Enumeration date
03/30/2007
Last updated
12/17/2019
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