Provider Demographics
NPI:1700806064
Name:CHENG, GUY YOUNG (DC)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:YOUNG
Last Name:CHENG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 712
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MI
Mailing Address - Zip Code:49230-0712
Mailing Address - Country:US
Mailing Address - Phone:517-592-6180
Mailing Address - Fax:517-592-3131
Practice Address - Street 1:101 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MI
Practice Address - Zip Code:49230
Practice Address - Country:US
Practice Address - Phone:517-592-6180
Practice Address - Fax:517-592-3131
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICC005783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2998514Medicaid
U35137Medicare UPIN
MI2998514Medicaid