Provider Demographics
NPI:1124735253
Name:CHIZEVER, CATHLEEN ELAINE
Entity type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:ELAINE
Last Name:CHIZEVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 NAPANEE DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45430-1319
Mailing Address - Country:US
Mailing Address - Phone:440-759-0430
Mailing Address - Fax:
Practice Address - Street 1:3511 NAPANEE DR
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45430-1319
Practice Address - Country:US
Practice Address - Phone:440-759-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care