Individual
DEITRICE EILEEN CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6611 CLYO RD STE B, DAYTON, OH 45459-2785
(937) 208-7474
(937) 208-7470
Mailing address
3170 KETTERING BLVD, BUILDING B 3RD FLOOR, MORAINE, OH 45439-1924
(937) 991-3188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35070051
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0259191
WORKER'S COMP
OH
05
—
2016919
—
OH
01
—
326028833-00
BWC PROVIDER NUMBER
OH
Enumeration date
07/21/2006
Last updated
04/02/2026
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