Provider Demographics
NPI:1205514916
Name:YOUNGER, CHARLES JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JOSEPH
Last Name:YOUNGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3552 E BARNARD AVE
Mailing Address - Street 2:
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-1602
Mailing Address - Country:US
Mailing Address - Phone:414-482-1776
Mailing Address - Fax:262-421-2773
Practice Address - Street 1:3552 E BARNARD AVE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-1602
Practice Address - Country:US
Practice Address - Phone:414-482-1776
Practice Address - Fax:262-421-2773
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6103-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor