Provider Demographics
NPI:1285872887
Name:CHEEK, JANNA T (CNIM, REEG T)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:T
Last Name:CHEEK
Suffix:
Gender:F
Credentials:CNIM, REEG T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 S UTICA AVE
Mailing Address - Street 2:SUITE 901
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4000
Mailing Address - Country:US
Mailing Address - Phone:918-742-0400
Mailing Address - Fax:918-742-0904
Practice Address - Street 1:1145 S UTICA AVE
Practice Address - Street 2:SUITE 901
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4000
Practice Address - Country:US
Practice Address - Phone:918-742-0400
Practice Address - Fax:918-742-0904
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3055246ZE0500X
1034246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG