Provider Demographics
NPI:1467018143
Name:CHAPMAN INTEGRATIVE HEALTH PLLC
Entity Type:Organization
Organization Name:CHAPMAN INTEGRATIVE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-813-2624
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84662-0039
Mailing Address - Country:US
Mailing Address - Phone:435-813-2624
Mailing Address - Fax:435-355-3688
Practice Address - Street 1:216 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:UT
Practice Address - Zip Code:84662-0039
Practice Address - Country:US
Practice Address - Phone:435-813-2624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty