Cheatham, John Wayne
Cheatham, John Wayne is an individual health care provider with primary practice located at 1600 22Nd Ave , Meridian MS 39301-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cheatham, John Wayne can be contacted via phone (601) 483-5322.Contact Information
Primary practice address
1600 22Nd Ave
Meridian MS 39301-3223
Phone: (601) 483-5322
Fax: (601) 581-2289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18926 | Mississippi |
Profile Details
| NPI number | 1497728778 |
|---|---|
| LBN Legal business name | Cheatham, John Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Feb 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497728778 | NPPES |
| Mississippi | MEDICAID | 04720872 |
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