Healthcare Provider Details

I. General information

NPI: 1407475064
Provider Name (Legal Business Name): YOLANDA LOYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YOLANDA MICHAELS

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 04/14/2020
Certification Date: 04/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2789 E STATE ST STE 7
SALEM OH
44460-9327
US

IV. Provider business mailing address

104 JAVIT CT
AUSTINTOWN OH
44515-2439
US

V. Phone/Fax

Practice location:
  • Phone: 234-575-0211
  • Fax: 234-575-0119
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: