Provider Demographics
NPI:1396637054
Name:GILBERT, CHAZ M
Entity type:Individual
Prefix:MS
First Name:CHAZ
Middle Name:M
Last Name:GILBERT
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 1:428 PEDRETTI AVE
Mailing Address - Street 2:APT 8
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238
Mailing Address - Country:US
Mailing Address - Phone:513-390-7503
Mailing Address - Fax:513-390-7503
Practice Address - Street 1:428 PEDRETTI AVE
Practice Address - Street 2:APT 8
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238
Practice Address - Country:US
Practice Address - Phone:513-390-7503
Practice Address - Fax:513-390-7503
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health