Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35096663 | OH |
Y | 111NI0900X | Internist | 35096663 | OH |
N | 207RA0401X | Internist - Addiction Medicine | 35096663 | OH |
NPI | 1356502074 |
---|---|
Provider Name | Christ-Roi Cheres |
First Address | Streetsboro, OH 44241-4307 |
Second Address | Chardon, OH 44024-7032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 30/05/2018 |