Healthcare Provider Details

I. General information

NPI: 1578474540
Provider Name (Legal Business Name): CYNTHIA A CHICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 N MAIN ST
AKRON OH
44308-1971
US

IV. Provider business mailing address

47 N MAIN ST
AKRON OH
44308-1971
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-7242
  • Fax:
Mailing address:
  • Phone: 330-543-7242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN-253296
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: