Provider Demographics
NPI:1730186875
Name:CHESHIER, JAMES LEON (MD, PA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LEON
Last Name:CHESHIER
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 ROGERS AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3046
Mailing Address - Country:US
Mailing Address - Phone:479-785-2825
Mailing Address - Fax:479-782-6630
Practice Address - Street 1:3800 ROGERS AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3046
Practice Address - Country:US
Practice Address - Phone:479-785-2825
Practice Address - Fax:479-782-6630
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5272174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARB90075Medicare UPIN