Provider Demographics
NPI:1245648872
Name:BEN CHEEK PLLC
Entity type:Organization
Organization Name:BEN CHEEK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENNIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:CHEEK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-427-3294
Mailing Address - Street 1:710 E SHAWNTEL SMITH BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MULDROW
Mailing Address - State:OK
Mailing Address - Zip Code:74948-4830
Mailing Address - Country:US
Mailing Address - Phone:918-427-3294
Mailing Address - Fax:
Practice Address - Street 1:710 E SHAWNTEL SMITH BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MULDROW
Practice Address - State:OK
Practice Address - Zip Code:74948-4830
Practice Address - Country:US
Practice Address - Phone:918-427-3294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2512208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty