Provider Demographics
NPI:1093473167
Name:YOST, WILLIAM WALTER JR (REGISTERED NURSE)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:WALTER
Last Name:YOST
Suffix:JR
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MARY AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:43910-7775
Mailing Address - Country:US
Mailing Address - Phone:740-296-0017
Mailing Address - Fax:
Practice Address - Street 1:705 W HIGH AVE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2057
Practice Address - Country:US
Practice Address - Phone:330-339-2565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH323567163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health