Provider Demographics
NPI:1659024263
Name:CHAPMAN, SHALONDA MARIE
Entity Type:Individual
Prefix:MRS
First Name:SHALONDA
Middle Name:MARIE
Last Name:CHAPMAN
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 1:12757 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-7409
Mailing Address - Country:US
Mailing Address - Phone:225-573-1600
Mailing Address - Fax:
Practice Address - Street 1:12757 CANTERBURY DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-7409
Practice Address - Country:US
Practice Address - Phone:225-573-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management