MEDICARE: JOANNA CHEEK CPRS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	PRS.0002488	OH

General Provider Information

NPI Number	:	1437821188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA CHEEK CPRS

Provider Business Mailing Address
First Line	:	820 BROWN ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44311-1863
Country	:	US
Telephone Number	:	330-410-1007
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 W MARKET ST STE 102
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-7018
Country	:	US
Telephone Number	:	234-340-2138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2021
Last Update Date	:	11/25/2024

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