Provider Demographics
NPI:1043466220
Name:CHERATT, JEREMIAH (DC)
Entity type:Individual
Prefix:DR
First Name:JEREMIAH
Middle Name:
Last Name:CHERATT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:JEREMIAH
Other - Middle Name:
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:8200 HAVEN AVE
Mailing Address - Street 2:#2-105
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-6958
Mailing Address - Country:US
Mailing Address - Phone:909-957-7798
Mailing Address - Fax:909-980-0735
Practice Address - Street 1:8200 HAVEN AVE
Practice Address - Street 2:#2-105
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-6958
Practice Address - Country:US
Practice Address - Phone:909-957-7798
Practice Address - Fax:909-980-0735
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30217111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor