Daniel S Yachter, D.C

Individual provider Active NPI Chiropractor · Lake Mary, FL

NPI 1376855486 · NPPES record last updated Jul 6, 2010

Key facts

NPI
1376855486
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CH7458 (FL)
Practice address
3577 Lake Emma Rd
Suite #121
Lake Mary, FL 32746-2056
Phone
(407) 333-2277
Fax
(407) 333-3729
NPI assigned
Jul 6, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CH7458FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Physical Therapy, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7458 FL Yes

Addresses

Primary practice location

3577 Lake Emma Rd
Suite #121
Lake Mary, FL 32746-2056

Mailing address

PO Box 952109
Lake Mary, FL 32795-2109
Phone (407) 333-2277

Other providers in Lake Mary, FL

All providers in Lake Mary, FL · Chiropractor in Florida

Sources for this page

Verify at the official NPI Registry.