MEDICARE: EUNIDE CHERY

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	376K00000X	Nurse's Aide	342154920704E	OH

General Provider Information

NPI Number	:	1124574967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUNIDE CHERY

Provider Business Mailing Address
First Line	:	2138 BRIDLINGTON LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3922
Country	:	US
Telephone Number	:	614-260-0780
Fax Number	:

Provider Business Practice Location Address
First Line	:	2138 BRIDLINGTON LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3922
Country	:	US
Telephone Number	:	614-260-0780
Fax Number	:

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

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	08/31/2016

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Directions to “ EUNIDE CHERY ” Practice Location

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