Cheatham, Robert Wycliffe
Cheatham, Robert Wycliffe is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Cheatham, Robert Wycliffe can be contacted via phone (208) 535-4591.Contact Information
Primary practice address
3100 Channing Way
Idaho Falls ID 83404-7533
Phone: (208) 535-4591
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 5181544-1205 | Utah |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | M-12972 | Idaho |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | M-12972 | Idaho |
Profile Details
NPI number | 1518995026 |
---|---|
LBN Legal business name | Cheatham, Robert Wycliffe |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Apr 25th, 2016 - about 8 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.
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