Healthcare Provider Details

I. General information

NPI: 1417024571
Provider Name (Legal Business Name): JEFFREY MARK CHESKIN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 LIMESTONE RD STE 2
WILMINGTON DE
19808-5553
US

IV. Provider business mailing address

2006 LIMESTONE RD STE 2
WILMINGTON DE
19808-5553
US

V. Phone/Fax

Practice location:
  • Phone: 302-998-7008
  • Fax: 302-998-1995
Mailing address:
  • Phone: 302-998-7008
  • Fax: 302-998-1995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberF1-0000301
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: