Provider Demographics
NPI:1679172886
Name:CHAPMAN, MATTISON (ND)
Entity Type:Individual
Prefix:DR
First Name:MATTISON
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 ENCINITAS BLVD STE 121
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3773
Mailing Address - Country:US
Mailing Address - Phone:858-800-2555
Mailing Address - Fax:
Practice Address - Street 1:531 ENCINITAS BLVD STE 121
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3773
Practice Address - Country:US
Practice Address - Phone:858-800-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA976175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath