Provider Demographics
NPI:1184699548
Name:YAPSUGA, LEO M (RPH, DC)
Entity type:Individual
Prefix:DR
First Name:LEO
Middle Name:M
Last Name:YAPSUGA
Suffix:
Gender:M
Credentials:RPH, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 BUCK ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6038
Mailing Address - Country:US
Mailing Address - Phone:207-945-5277
Mailing Address - Fax:207-945-5277
Practice Address - Street 1:292 BUCK ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6038
Practice Address - Country:US
Practice Address - Phone:207-945-5277
Practice Address - Fax:207-945-5277
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEU01405Medicare UPIN
MEMM3868Medicare ID - Type UnspecifiedMEDICARE NUMBER