Provider Demographics
NPI:1386458438
Name:CHEEVER, MICHAEL HOWARD
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:HOWARD
Last Name:CHEEVER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 TOMPKINS DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-5405
Mailing Address - Country:US
Mailing Address - Phone:712-253-3118
Mailing Address - Fax:
Practice Address - Street 1:526 TOMPKINS DR
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-5405
Practice Address - Country:US
Practice Address - Phone:712-253-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider