Provider Demographics
NPI:1891482592
Name:CHAPLINE, JOSEPH TRACE
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:TRACE
Last Name:CHAPLINE
Suffix:
Gender:M
Credentials:
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 42721
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73123-3721
Mailing Address - Country:US
Mailing Address - Phone:405-802-8933
Mailing Address - Fax:
Practice Address - Street 1:2000 N CLASSEN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6016
Practice Address - Country:US
Practice Address - Phone:405-795-8374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist