Provider Demographics
NPI:1336943281
Name:CHIBWI, ELIZA JAMES
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:JAMES
Last Name:CHIBWI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 SUSANNAH DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-9419
Mailing Address - Country:US
Mailing Address - Phone:614-815-9045
Mailing Address - Fax:
Practice Address - Street 1:7100 SUSANNAH DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-9419
Practice Address - Country:US
Practice Address - Phone:614-815-9045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant