Isfm Limited

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC009450 Issued in PA

Legal business name

ISFM LIMITED

Practice address

525 S 4TH St Ste 254
Philadelphia, PA 19147-1573

Phone

(267) 687-7875

NPI assigned

Jan 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yoke T Tan, D.C.

Title

Owner

Phone

(267) 687-7875

Specialties & licenses 1

Addresses

Other names 1

• Ideal Spine and Functional Medicine Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1235675992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST STE 254",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471573",
            "telephone_number": "267-687-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST STE 254",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471573",
            "telephone_number": "267-687-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISFM LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "YOKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-687-7875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC009450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Spine and Functional Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Philadelphia, PA
• Nutrition Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.