Provider Demographics
NPI:1851416986
Name:CHAPMAN, DEANNE MARIE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:DEANNE
Middle Name:MARIE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WINDSONG CIR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-4645
Mailing Address - Country:US
Mailing Address - Phone:603-471-1292
Mailing Address - Fax:
Practice Address - Street 1:20 WASHINGTON PL FL 2
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6706
Practice Address - Country:US
Practice Address - Phone:603-625-2622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0350363A00000X
MA1041363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA83-02115OtherEVERCARE NUMBER
MA500008505Medicare ID - Type UnspecifiedROUTER NUMBER
MAAP1102Medicare ID - Type Unspecified
MAS88614Medicare UPIN