MEDICARE: CHERYL LYNN OAKES RRT

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	227900000X	Registered Respiratory Therapist	RCP 4240	OH
2	227900000X	Registered Respiratory Therapist	A 5745	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A 5745	OTHER	NC	NORTH CAROLINA RESPIRATORY LICENSE
2	RCP-4240	OTHER	OH	OHIO RESPIRATORY CARE LICENSE

General Provider Information

NPI Number	:	1518264498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL LYNN OAKES RRT

Provider Business Mailing Address
First Line	:	2135 WAYNE AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-2136
Country	:	US
Telephone Number	:	937-441-9387
Fax Number	:

Provider Business Practice Location Address
First Line	:	2135 WAYNE AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-2136
Country	:	US
Telephone Number	:	937-441-9387
Fax Number	:

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

Provider Enumeration Date	:	02/11/2011
Last Update Date	:	02/11/2011

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