Provider Demographics
NPI:1326190646
Name:YOCHUM, ROBERT ALBERT (RN)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ALBERT
Last Name:YOCHUM
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 FAIRGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-4431
Mailing Address - Country:US
Mailing Address - Phone:614-205-9091
Mailing Address - Fax:
Practice Address - Street 1:3200 N WEST ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-2048
Practice Address - Country:US
Practice Address - Phone:419-225-8052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN274823163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health