Provider Demographics
NPI:1184646572
Name:CHAPMAN, DARYL ROWE (DC)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:ROWE
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 1:2231 NASH ST NW
Mailing Address - Street 2:SUITE A
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1712
Mailing Address - Country:US
Mailing Address - Phone:252-291-2244
Mailing Address - Fax:252-291-4122
Practice Address - Street 1:2231 NASH ST NW
Practice Address - Street 2:SUITE A
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1712
Practice Address - Country:US
Practice Address - Phone:252-291-2244
Practice Address - Fax:252-291-4122
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08301OtherBLUE CROSS BLUE SHIELD #
NC8908301Medicaid
NC8908301Medicaid
NC08301OtherBLUE CROSS BLUE SHIELD #