Provider Demographics
NPI:1871793042
Name:CHA, YEUNG JU (DC)
Entity type:Individual
Prefix:DR
First Name:YEUNG
Middle Name:JU
Last Name:CHA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WOODVIEW LN
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-3636
Mailing Address - Country:US
Mailing Address - Phone:215-820-2581
Mailing Address - Fax:
Practice Address - Street 1:20 WOODVIEW LN
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-3636
Practice Address - Country:US
Practice Address - Phone:215-820-2581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor