Provider Demographics
NPI:1417028069
Name:DUREE, CHERYL L (DC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:DUREE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 NORTH AVE
Mailing Address - Street 2:UNIT D
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3152
Mailing Address - Country:US
Mailing Address - Phone:970-241-2400
Mailing Address - Fax:970-241-3786
Practice Address - Street 1:755 NORTH AVE
Practice Address - Street 2:UNIT D
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3152
Practice Address - Country:US
Practice Address - Phone:970-241-2400
Practice Address - Fax:970-241-3786
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO-1279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COK8313Medicare ID - Type Unspecified