Provider Demographics
NPI:1538139571
Name:CHEFF, FLOYD RAYMOND (DC)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:RAYMOND
Last Name:CHEFF
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 1:2710 DIXIE HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-1784
Mailing Address - Country:US
Mailing Address - Phone:248-674-0489
Mailing Address - Fax:248-674-9651
Practice Address - Street 1:2710 DIXIE HWY
Practice Address - Street 2:SUITE A
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-1784
Practice Address - Country:US
Practice Address - Phone:248-674-0489
Practice Address - Fax:248-674-9651
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4522415 TYPE 14Medicaid
MI95OF351540OtherBLUE CROSS
MIT33383Medicare UPIN
MI4522415 TYPE 14Medicaid