Provider Demographics
NPI:1992305221
Name:YOST, CHASSITY LAVONE
Entity type:Individual
Prefix:
First Name:CHASSITY
Middle Name:LAVONE
Last Name:YOST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 546
Mailing Address - Street 2:
Mailing Address - City:MAC ARTHUR
Mailing Address - State:WV
Mailing Address - Zip Code:25873-0546
Mailing Address - Country:US
Mailing Address - Phone:304-921-6803
Mailing Address - Fax:
Practice Address - Street 1:147 CELESTIAL ST.
Practice Address - Street 2:
Practice Address - City:CRAB ORCHARD
Practice Address - State:WV
Practice Address - Zip Code:25827
Practice Address - Country:US
Practice Address - Phone:304-921-6803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant