Doctor Name: | DR. JASON FORD CHAPMAN |
NPI Number: | 1497040349 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME121896 |
Business Practice Address: | 427 N. 12th St. Plummer, ID - 83851 |
Business Phone Number: | 2086861931 |
Business Fax Number: | |
Mailing Address: | Po Box 1118, COEUR D ALENE |
State: | ID |
Postal Code: | 838161118 |
Phone Number: | 2086518950 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2011 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME121896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |