Provider Demographics
NPI:1518264498
Name:OAKES, CHERYL LYNN (RRT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:OAKES
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45410-2136
Mailing Address - Country:US
Mailing Address - Phone:937-441-9387
Mailing Address - Fax:
Practice Address - Street 1:2135 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45410-2136
Practice Address - Country:US
Practice Address - Phone:937-441-9387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRCP 4240227900000X
NCA 5745227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA 5745OtherNORTH CAROLINA RESPIRATORY LICENSE
OHRCP-4240OtherOHIO RESPIRATORY CARE LICENSE