1891047403 NPI number — MICHEAL D. CHAPMAN PHD & ASSOCIATES

Table of content: (NPI 1891047403)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891047403 NPI number — MICHEAL D. CHAPMAN PHD & ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MICHEAL D. CHAPMAN PHD & ASSOCIATES
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:
Provider Other Organization Name Type Code:
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:
1891047403
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1675 LAWRENCE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHLAND
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41102-5501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-923-9896
Provider Business Mailing Address Fax Number:
606-326-0701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1675 LAWRENCE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41102-5501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-923-9896
Provider Business Practice Location Address Fax Number:
606-326-0701
Provider Enumeration Date:
10/05/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CHAPMAN
Authorized Official First Name:
MICHEAL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
606-923-9896

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0415 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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