Provider Demographics
NPI:1376164715
Name:CHAPPELLE, ROCHELLE S
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:S
Last Name:CHAPPELLE
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 1:147 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2261
Mailing Address - Country:US
Mailing Address - Phone:626-386-5120
Mailing Address - Fax:
Practice Address - Street 1:147 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2261
Practice Address - Country:US
Practice Address - Phone:626-386-5120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies