Provider Demographics
NPI:1790075018
Name:WILLIAM C. CHAPEL JR. APC
Entity Type:Organization
Organization Name:WILLIAM C. CHAPEL JR. APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIVAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEHOJEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-643-7247
Mailing Address - Street 1:2769 THIRD ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458
Mailing Address - Country:US
Mailing Address - Phone:985-643-7247
Mailing Address - Fax:985-643-7864
Practice Address - Street 1:2769 THIRD ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458
Practice Address - Country:US
Practice Address - Phone:985-643-7247
Practice Address - Fax:985-643-7864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA59400Medicare UPIN