Provider Demographics
NPI:1497640155
Name:SOWERS, CHASITIY SUE
Entity type:Individual
Prefix:
First Name:CHASITIY
Middle Name:SUE
Last Name:SOWERS
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 1:35770 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:RAY
Mailing Address - State:OH
Mailing Address - Zip Code:45672-8879
Mailing Address - Country:US
Mailing Address - Phone:740-466-4524
Mailing Address - Fax:
Practice Address - Street 1:35770 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:RAY
Practice Address - State:OH
Practice Address - Zip Code:45672-8879
Practice Address - Country:US
Practice Address - Phone:740-466-4524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant