Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1171 | OR |
NPI | 1609923200 |
---|---|
Provider Name | Dr. John T Checkal |
First Address | North Plains, OR 97133-0422 |
Second Address | Hillsboro, OR 97124-3145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 08/07/2007 |