Provider Demographics
NPI:1760596829
Name:CHAPMAN, ANDREW JAMES (DPM)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:BIG STONE GAP
Mailing Address - State:VA
Mailing Address - Zip Code:24219-0328
Mailing Address - Country:US
Mailing Address - Phone:276-523-3696
Mailing Address - Fax:276-523-4806
Practice Address - Street 1:2537 4TH AVE E
Practice Address - Street 2:
Practice Address - City:BIG STONE GAP
Practice Address - State:VA
Practice Address - Zip Code:24219-3601
Practice Address - Country:US
Practice Address - Phone:276-523-3696
Practice Address - Fax:276-523-4806
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000781213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1391888OtherUMWA
VA244155OtherBCBS
VA9300121Medicaid
VA9300121Medicaid
VA244155OtherBCBS