Provider Demographics
NPI:1114384658
Name:CHAPPELL, ERIC (LVN,EMT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:CHAPPELL
Suffix:
Gender:M
Credentials:LVN,EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 SUNSET CV
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6836
Mailing Address - Country:US
Mailing Address - Phone:254-432-1144
Mailing Address - Fax:
Practice Address - Street 1:3130 SUNSET CV
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6836
Practice Address - Country:US
Practice Address - Phone:254-432-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other