Chris Checkett Llc | |
20325 Center Ridge Rd Suite 628 Rocky River OH 44116-3572 | |
(440) 331-5570 | |
(440) 331-3221 |
Full Name | Chris Checkett Llc |
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Speciality | Social Worker |
Location | 20325 Center Ridge Rd, Rocky River, Ohio |
Authorized Official Name and Position | Christopher Terence Checkett (OWNER) |
Authorized Official Contact | 4403315570 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chris Checkett Llc 20325 Center Ridge Rd Suite 628 Rocky River OH 44116-3572 Ph: (440) 331-5570 | Chris Checkett Llc 20325 Center Ridge Rd Suite 628 Rocky River OH 44116-3572 Ph: (440) 331-5570 |
NPI Number | 1073818662 |
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Provider Enumeration Date | 01/13/2011 |
Last Update Date | 04/14/2011 |
Medicare PECOS PAC ID | 3971789744 |
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Medicare Enrollment ID | O20110511000487 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073818662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I. 0800032 SUPV (Ohio) | Primary |
Provider Name | Christopher Terence Checkett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699004192 PECOS PAC ID: 8628113511 Enrollment ID: I20100303000450 |
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