VICTOR L CHEATHAM NPI 1053666750

NPI Information

NPI: 1053666750
Provider Name: VICTOR L CHEATHAM
Classification: Contractor - 171W00000X
Entity Type: Individual
Address:
6545 HIGHVIEW ST
DEARBORN HEIGHTS, MI
ZIP 48127
Phone: (313) 277-0663
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Victor L Cheatham is a contractor in Dearborn Heights, MI. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Victor L Cheatham NPI is 1053666750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6545 HIGHVIEW ST
DEARBORN HEIGHTS, MI
ZIP 48127-126
Phone: (313) 277-0663

The enumeration date for this NPI number is 7/18/2012 and was last updated on 7/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	171WV0202X	Contractor	Vehicle Modifications	No
3	172A00000X	Driver		No
4	172V00000X	Community Health Worker		No
5	171W00000X	Contractor		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	460530077	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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