Provider Demographics
NPI:1427805795
Name:STILL, CHADWICK ELMEN
Entity type:Individual
Prefix:
First Name:CHADWICK
Middle Name:ELMEN
Last Name:STILL
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 1:5283 STATE ROUTE 7 S
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-8923
Mailing Address - Country:US
Mailing Address - Phone:740-853-3147
Mailing Address - Fax:
Practice Address - Street 1:5283 SR 7 SOUTH
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631
Practice Address - Country:US
Practice Address - Phone:740-853-3147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide