Provider Demographics
NPI:1730118613
Name:CHAPMAN, OLIVIA MAE
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:MAE
Last Name:CHAPMAN
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 1:8798 FONTAINEBLEAU TER
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4802
Mailing Address - Country:US
Mailing Address - Phone:513-885-7026
Mailing Address - Fax:
Practice Address - Street 1:8798 FONTAINEBLEAU TER
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4802
Practice Address - Country:US
Practice Address - Phone:513-885-7026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2591262374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2591262Medicaid