Provider Demographics
NPI:1326091778
Name:CHAPMAN, WILLIAM JARROD (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JARROD
Last Name:CHAPMAN
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 1:1003 OAKHURST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-2081
Mailing Address - Country:US
Mailing Address - Phone:304-205-4041
Mailing Address - Fax:800-508-4274
Practice Address - Street 1:1003 OAKHURST DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314-2081
Practice Address - Country:US
Practice Address - Phone:304-205-4041
Practice Address - Fax:800-508-4274
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1673207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV5630092000Medicaid
WV3810024049OtherGROUP MEDICAID
WVB441OtherGROUP MEDICARE
WV5630092000Medicaid
WVB441OtherGROUP MEDICARE
WVB441OtherGROUP MEDICARE