Provider Demographics
NPI:1235440157
Name:CHAPPELL, DANIEL H (DO)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
Last Name:CHAPPELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-0337
Mailing Address - Country:US
Mailing Address - Phone:801-773-4840
Mailing Address - Fax:801-525-8151
Practice Address - Street 1:991 SHEPARD LN
Practice Address - Street 2:SUITE 200
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2972
Practice Address - Country:US
Practice Address - Phone:801-397-6080
Practice Address - Fax:801-397-6081
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5839415-1204207Q00000X, 207P00000X, 207Q00000X
MN54069207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU000094946Medicare PIN