Provider Demographics
NPI:1710179510
Name:JILL D CHAPMAN CHIROPRACTIC APC
Entity Type:Organization
Organization Name:JILL D CHAPMAN CHIROPRACTIC APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:DEANNE
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-726-4275
Mailing Address - Street 1:410 S SANTA FE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-6163
Mailing Address - Country:US
Mailing Address - Phone:760-726-4275
Mailing Address - Fax:760-726-4278
Practice Address - Street 1:410 S SANTA FE AVE STE 201
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-6163
Practice Address - Country:US
Practice Address - Phone:760-726-4275
Practice Address - Fax:760-726-4278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty