Healthcare Provider Details

I. General information

NPI: 1194944181
Provider Name (Legal Business Name): NICOLE CHEKANOWSKY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 12/02/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

464 ALLEGHENY BLVD STE 2D
FRANKLIN PA
16323-6259
US

IV. Provider business mailing address

464 ALLEGHENY BLVD STE 2D
FRANKLIN PA
16323-6259
US

V. Phone/Fax

Practice location:
  • Phone: 814-437-6793
  • Fax: 814-437-6797
Mailing address:
  • Phone: 814-437-6793
  • Fax: 814-437-6797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA051427
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: