MEDICARE: CHRISTINE CHECK

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	101Y00000X	Counselor	C.0600465	OH

General Provider Information

NPI Number	:	1528221546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CHECK

Provider Business Mailing Address
First Line	:	2178 LEWIS DR
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-6141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2178 LEWIS DR
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-6141
Country	:	US
Telephone Number	:	216-269-0973
Fax Number	:

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

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	07/09/2008

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Directions to “ CHRISTINE CHECK ” Practice Location

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