Doctor Name: | MARK R CHAPMAN |
NPI Number: | 1033595707 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | COF |
License Number: | |
Business Practice Address: | 10931 E Independence Blvd Ste M Matthews, NC - 281055057 |
Business Phone Number: | 7048448234 |
Business Fax Number: | 7049730696 |
Mailing Address: | 10931 E Independence Blvd Ste M, MATTHEWS |
State: | NC |
Postal Code: | 281055057 |
Phone Number: | 7048448234 |
Fax Number: | 7049730696 |
NPI Enumeration Date: | 08/05/2015 |
NPI Last Update Date: | 08/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |