MEDICARE: MERIDITH CHRISTINE YOCHIM PA-C

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	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1548264476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERIDITH CHRISTINE YOCHIM PA-C

Provider Business Mailing Address
First Line	:	8529 GREYHAWK DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-9683
Country	:	US
Telephone Number	:	765-730-6885
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 ECKHART AVE
Second Line	:
City	:	AUBURN
State	:	IN
Zip	:	46706-1325
Country	:	US
Telephone Number	:	260-920-1014
Fax Number	:

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/23/2019

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