Healthcare Provider Details

I. General information

NPI: 1609903707
Provider Name (Legal Business Name): CELEBRATION OF HEALTH ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 THURMAN ST
BLUFFTON OH
45817-1306
US

IV. Provider business mailing address

122 THURMAN ST
BLUFFTON OH
45817-1306
US

V. Phone/Fax

Practice location:
  • Phone: 419-358-4627
  • Fax: 419-358-1855
Mailing address:
  • Phone: 419-358-4627
  • Fax: 419-358-1855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LOUIS TERRY CHAPPELL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 419-358-4627