Basic Information
| Provider Information | |||||||||
| NPI: | 1154567311 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHEKEMIAN | ||||||||
| FirstName: | BETH | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 135 S PROSPECT ST | ||||||||
| Address2: | |||||||||
| City: | YPSILANTI | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481987914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2675723168 | ||||||||
| FaxNumber: | 2675723161 | ||||||||
| Practice Location | |||||||||
| Address1: | 280 MIDDLETOWN BLVD | ||||||||
| Address2: | |||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2675723168 | ||||||||
| FaxNumber: | 2675723161 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2008 | ||||||||
| LastUpdateDate: | 03/15/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | OT012641 | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | OS016242 | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 208VP0014X | OS016242 | PA | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.