Provider Demographics
NPI:1437262946
Name:CHESHIER, RICHARD STARR (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STARR
Last Name:CHESHIER
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 1237
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38088-1237
Mailing Address - Country:US
Mailing Address - Phone:901-626-1412
Mailing Address - Fax:901-367-9569
Practice Address - Street 1:5570 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3805
Practice Address - Country:US
Practice Address - Phone:901-367-0811
Practice Address - Fax:901-367-9569
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1956 DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3971569Medicare ID - Type Unspecified
TNU99009Medicare UPIN