Provider Demographics
NPI:1972798346
Name:VOLLMAR-YEAGER CHIROPRACTIC BACK 2 BACK, PLLC
Entity type:Organization
Organization Name:VOLLMAR-YEAGER CHIROPRACTIC BACK 2 BACK, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:YEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-550-4462
Mailing Address - Street 1:4456 SEEGER ST
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-1417
Mailing Address - Country:US
Mailing Address - Phone:989-872-2737
Mailing Address - Fax:989-872-2740
Practice Address - Street 1:4456 SEEGER ST
Practice Address - Street 2:
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1417
Practice Address - Country:US
Practice Address - Phone:989-550-4462
Practice Address - Fax:989-673-4038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009186111N00000X
MI2301008811111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty