Provider Demographics
NPI:1760796205
Name:CHAPMAN, DAWN DANITA
Entity Type:Individual
Prefix:MISS
First Name:DAWN
Middle Name:DANITA
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:DANITA
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:47 T ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1578
Mailing Address - Country:US
Mailing Address - Phone:202-378-4071
Mailing Address - Fax:301-277-6335
Practice Address - Street 1:47 T ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1578
Practice Address - Country:US
Practice Address - Phone:202-378-4071
Practice Address - Fax:301-277-6335
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1342540172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver