MEDICARE: PAULA J JOCHIM FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	71000521	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500005397	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457394348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA J JOCHIM FNP

Provider Business Mailing Address
First Line	:	PO BOX 1028
Second Line	:
City	:	JASPER
State	:	IN
Zip	:	47547-1028
Country	:	US
Telephone Number	:	812-481-8483
Fax Number	:	812-481-8497

Provider Business Practice Location Address
First Line	:	4 W VINE ST
Second Line	:
City	:	DALE
State	:	IN
Zip	:	47523-9061
Country	:	US
Telephone Number	:	812-937-7140
Fax Number	:	812-937-7145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	06/23/2010

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