1447504659 NPI number — CHAPMAN AND ASSOCIATES HEALTH CARE, LLC

Table of content: (NPI 1447504659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447504659 NPI number — CHAPMAN AND ASSOCIATES HEALTH CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHAPMAN AND ASSOCIATES HEALTH CARE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CHAPMAN AND ASSOCIATES HEALTH CARE, LLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447504659
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
922 NATIONAL HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAVALE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21502-7325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-362-7294
Provider Business Mailing Address Fax Number:
240-362-7366

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
922 NATIONAL HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAVALE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21502-7325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-362-7294
Provider Business Practice Location Address Fax Number:
240-362-7366
Provider Enumeration Date:
11/09/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CHAPMAN
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
S
Authorized Official Title or Position:
NURSE PRACTITIONER
Authorized Official Telephone Number:
240-362-7294

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  R069415 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LP0808X , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AJ440000 . This is a "CAREFIRST PROVIDER GROUP NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 422241500 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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