National Provider Identifier Database

JOHN W CHEESEBRO, DPM – NPI #1144333667
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JOHN W CHEESEBRO, DPM
2805 CAMPUS DR STE 225
PLYMOUTH, MN55441-2678
Phone: 612-788-8778
Fax: 612-869-3473
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JOHN W CHEESEBRO

NPI Number 1144333667
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/17/2006
Last updated 07/22/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 366
  • MN Medicaid: 323225500
  • MI Other: 11691MI BC/BS PROVIDER ID
  • MN Other: 0541840001 ADMINISTAR DEFENSE ID
  • MN Other: 411695192 FEDERAL TAX ID
  • MN Other: HP13053 HEALTHPARTNERS PROVIDER #
  • MN Other: 271055 MEDICA PROVIDER ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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