Provider Demographics
NPI:1083954143
Name:YOAKAM, ELLEN ELIZABETH (DVM)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:ELIZABETH
Last Name:YOAKAM
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:ELLEN
Other - Middle Name:ELIZABETH
Other - Last Name:HARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:776 MAIN ST # 5
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9000
Mailing Address - Country:US
Mailing Address - Phone:419-962-4344
Mailing Address - Fax:
Practice Address - Street 1:776 MAIN ST # 5
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-9000
Practice Address - Country:US
Practice Address - Phone:419-962-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9349174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian