Provider Demographics
NPI:1811196058
Name:CHAPMAN CHIROPRACTIC INC
Entity Type:Organization
Organization Name:CHAPMAN CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:LA ROY
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-353-4435
Mailing Address - Street 1:7969 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2978
Mailing Address - Country:US
Mailing Address - Phone:818-353-4435
Mailing Address - Fax:818-353-8132
Practice Address - Street 1:7969 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2978
Practice Address - Country:US
Practice Address - Phone:818-353-4435
Practice Address - Fax:818-353-8132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU79590Medicare UPIN
CADC26359Medicare PIN