Provider Demographics
NPI:1285523266
Name:ECHOLS, ROBERT LEE JR
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LEE
Last Name:ECHOLS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 CRANDALL AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1459
Mailing Address - Country:US
Mailing Address - Phone:330-980-2344
Mailing Address - Fax:330-980-2344
Practice Address - Street 1:465 CRANDALL AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1459
Practice Address - Country:US
Practice Address - Phone:330-980-2344
Practice Address - Fax:330-743-9416
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker