Provider Demographics
NPI:1164032124
Name:CHAPMAN, BEVERLY J
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:J
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3764 CHANDLER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:25520-9160
Mailing Address - Country:US
Mailing Address - Phone:304-638-0965
Mailing Address - Fax:
Practice Address - Street 1:3764 CHANDLER RIDGE RD
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:WV
Practice Address - Zip Code:25520-9160
Practice Address - Country:US
Practice Address - Phone:304-638-0965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant