Shed Light, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHED LIGHT, PC

Practice address

2611 Hampden Blvd
Reading, PA 19604-1010

Phone

(610) 921-2030

NPI assigned

Mar 3, 2016

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yvonne Carlene Yurichko, D.C.

Title

Vice President

Phone

(610) 921-2030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1336509330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 HAMPDEN BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041010",
            "telephone_number": "610-921-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 HAMPDEN BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041010",
            "telephone_number": "610-921-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHED LIGHT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "YURICHKO",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "CARLENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-921-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Reading, PA
• Providers in Reading, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.