Healthcare Provider Details

I. General information

NPI: 1962342014
Provider Name (Legal Business Name): CHAPPEL CRONIER PETTIT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3188 BELLEVUE
CINCINNATI OH
45219-0796
US

IV. Provider business mailing address

2600 CLIFTON AVE
CINCINNATI OH
45220-2872
US

V. Phone/Fax

Practice location:
  • Phone: 513-556-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: