Provider Demographics
NPI:1336685247
Name:CHAPMAN, MARQUETTA (HHA)
Entity Type:Individual
Prefix:MRS
First Name:MARQUETTA
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13105 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5149
Mailing Address - Country:US
Mailing Address - Phone:216-322-9316
Mailing Address - Fax:
Practice Address - Street 1:13105 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5149
Practice Address - Country:US
Practice Address - Phone:216-322-9316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker