Provider Demographics
NPI:1356714158
Name:CHEAIRS, DORIAN (CSFA)
Entity type:Individual
Prefix:
First Name:DORIAN
Middle Name:
Last Name:CHEAIRS
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 E 60TH DR.
Mailing Address - Street 2:
Mailing Address - City:MERRILVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410
Mailing Address - Country:US
Mailing Address - Phone:219-644-7106
Mailing Address - Fax:
Practice Address - Street 1:316 E 60TH DR
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-3049
Practice Address - Country:US
Practice Address - Phone:219-644-7106
Practice Address - Fax:219-644-7106
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN27063269A246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist