Provider Demographics
NPI:1124024039
Name:CHENEY, DAREN B (MD)
Entity Type:Individual
Prefix:
First Name:DAREN
Middle Name:B
Last Name:CHENEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1721 MEDICAL BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1354
Mailing Address - Country:US
Mailing Address - Phone:419-423-7663
Mailing Address - Fax:419-423-7665
Practice Address - Street 1:1721 MEDICAL BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1354
Practice Address - Country:US
Practice Address - Phone:419-423-7663
Practice Address - Fax:419-423-7665
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2009-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35056191207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0739277Medicaid
OH0632302Medicare PIN
OH0739277Medicaid