Provider Demographics
NPI:1023015971
Name:CHECH, GREGORY EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:EDWARD
Last Name:CHECH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21209
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89721-1209
Mailing Address - Country:US
Mailing Address - Phone:775-826-6090
Mailing Address - Fax:775-826-8848
Practice Address - Street 1:106 E ADAMS ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-3182
Practice Address - Country:US
Practice Address - Phone:775-826-6090
Practice Address - Fax:775-826-8848
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB-588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor