Provider Demographics
NPI:1659378362
Name:GREGORY E. CHECH
Entity Type:Organization
Organization Name:GREGORY E. CHECH
Other - Org Name:ADVANCED SPINE REHAB & CONSULTING, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CHECH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-826-6090
Mailing Address - Street 1:PO BOX 21209
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89721-1209
Mailing Address - Country:US
Mailing Address - Phone:775-826-6090
Mailing Address - Fax:775-826-8848
Practice Address - Street 1:106 E ADAMS ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-3182
Practice Address - Country:US
Practice Address - Phone:775-826-6090
Practice Address - Fax:775-826-8848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV33485Medicare PIN