Desiree Jean Cheney in Ballwin - Pediatrics
Desiree Jean Cheney - NPI 1437204757
Desiree Jean Cheney is a Pediatrics in Ballwin, Missouri. Desiree Jean Cheney practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Desiree Jean Cheney is 1437204757. The last update date is 2007-07-08.
Desiree Jean Cheney's current location address is 1009 Burgundy Ln, Ballwin, Missouri. You can contact this provider via phone number 6362560911 and fax number 6362560911. The mailing address for Desiree Jean Cheney is 1009 Burgundy Ln, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Desiree Jean Cheney |
|---|---|
| Address | 1009 Burgundy Ln, Ballwin, Missouri |
| Phone Number | 6362560911 |
| Fax Number | 6362560911 |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1437204757 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1009 Burgundy Ln |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630114159 |
| Phone Number | 6362560911 |
| Fax Number | 6362560911 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 4727 |
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What is the Desiree Jean Cheney's unique identification number?
The Desiree Jean Cheney has been assigned the NPI (National Provider Identifier) Number 1437204757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Desiree Jean Cheney is physically located?
The Desiree Jean Cheney is situated at the following address: 1009 Burgundy Ln, Ballwin, MO 630114159.
What is Desiree Jean Cheney's specialized field of practice, and what is the corresponding taxonomy classification code?
The Desiree Jean Cheney's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 225Xp0200X.
On what date did the Desiree Jean Cheney receive the assignment of its 1437204757 from the Centers for Medicare & Medicaid Services?
The Desiree Jean Cheney was issued its 1437204757 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the Desiree Jean Cheney's details last updated?
The information pertaining to the Desiree Jean Cheney, including its address, specialty, and other details, was most recently updated on 2007-07-08.