Provider Demographics
NPI:1558557926
Name:CHESHIRE, RICHARD T JR (HEARING AID SPECIALI)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:T
Last Name:CHESHIRE
Suffix:JR
Gender:M
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2618 KST
Mailing Address - Street 2:#C
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3908
Mailing Address - Country:US
Mailing Address - Phone:661-634-9141
Mailing Address - Fax:661-634-0144
Practice Address - Street 1:2618 KST
Practice Address - Street 2:#C
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3908
Practice Address - Country:US
Practice Address - Phone:661-634-9141
Practice Address - Fax:661-634-0144
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAHA3239237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist