Provider Demographics
NPI:1144608340
Name:CHAPMAN, RYAN J (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:J
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 N SCREENLAND DR
Mailing Address - Street 2:UNIT C
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2241
Mailing Address - Country:US
Mailing Address - Phone:323-523-5804
Mailing Address - Fax:
Practice Address - Street 1:1326 N SCREENLAND DR
Practice Address - Street 2:UNIT C
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2241
Practice Address - Country:US
Practice Address - Phone:323-523-5804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor