Provider Demographics
NPI:1225759335
Name:CHECHIK, DEVON (NTP)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:CHECHIK
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:
Other - Last Name:CHECHIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NTP
Mailing Address - Street 1:1313 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-4610
Mailing Address - Country:US
Mailing Address - Phone:805-540-4420
Mailing Address - Fax:
Practice Address - Street 1:1313 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-4610
Practice Address - Country:US
Practice Address - Phone:805-540-4420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education