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General NPI Number Information
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NPI Number | 1639341852
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Entity Type | Individual
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Provider Name | SHON MICHELLE CHAFFEE MS
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 313 BELLEVUE AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-3158
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Country | US
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Telephone | 513-475-8400
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Fax | 513-475-8228
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Provider Business Mailing Address
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Address Line | 2830 VICTORY PARKWAY PAYOR ENROLLMENT
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City | CINCINNATI
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State | OH
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Zip | 45206-1785
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Country | US
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Telephone | 513-585-5507
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 101791
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23002443A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A.00659
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License Number State | OH
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