Individual
DR. JEFFREY TODD YADLOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
542 MAIN ST, HONESDALE, PA 18431-1841
(570) 253-0776
(570) 253-3849
Mailing address
542 MAIN ST, HONESDALE, PA 18431-1841
(570) 253-0776
(570) 253-3849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-006304-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001456104
HIGHMARK BLUE SHIELD
PA
01
—
001457156
GROUP ID HIGHMARK
PA
01
—
1456104
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
07/10/2006
Last updated
08/16/2010
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