Provider Demographics
NPI:1750193280
Name:YAKOBCHUK, OKSANA
Entity type:Individual
Prefix:
First Name:OKSANA
Middle Name:
Last Name:YAKOBCHUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7960 NEWCOMB DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5817
Mailing Address - Country:US
Mailing Address - Phone:440-212-3355
Mailing Address - Fax:
Practice Address - Street 1:7960 NEWCOMB DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5817
Practice Address - Country:US
Practice Address - Phone:440-212-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant