Provider Demographics
NPI:1851529002
Name:CHEICH, EMILY ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANN
Last Name:CHEICH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1028 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-7124
Mailing Address - Country:US
Mailing Address - Phone:440-446-8933
Mailing Address - Fax:440-446-4333
Practice Address - Street 1:1028 S BROADWAY
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-7124
Practice Address - Country:US
Practice Address - Phone:440-446-8933
Practice Address - Fax:440-446-4333
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.010513207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine