Provider Demographics
NPI:1275525503
Name:CHIAPPETTA, NICOLE C (DO)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:C
Last Name:CHIAPPETTA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012103207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1746390OtherAMERIHEALTH ADMIN
PA821655OtherFIRST PRIORITY HEALTH
PA2411768000OtherKEYSTONE EAST
PAP00237013OtherRAILROAD MEDICARE
PA2001887OtherKEYSTONE CENTRAL
PA1746390OtherBLUE SHIELD
PA7806747OtherAETNA
PA50053678OtherBLUE CROSS
PA71172OtherGEISINGER
PA1746390OtherBLUE SHIELD
PA091923Medicare PIN