Individual
JASON CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-5000
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
34008158
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64076698
—
KY
Enumeration date
06/12/2006
Last updated
09/08/2023
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