Provider Demographics
NPI:1134981442
Name:CHAVIS, DEVIN T
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:T
Last Name:CHAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEVIN
Other - Middle Name:T
Other - Last Name:CHAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DEVIN CHAVIS
Mailing Address - Street 1:2839 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4062
Mailing Address - Country:US
Mailing Address - Phone:614-804-7475
Mailing Address - Fax:
Practice Address - Street 1:2839 CONTINENTAL DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4062
Practice Address - Country:US
Practice Address - Phone:614-804-7475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker