Provider Demographics
NPI:1912364233
Name:TRANSCEND CHIROPRACTIC DR JOHN CHAPMAN DC A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:TRANSCEND CHIROPRACTIC DR JOHN CHAPMAN DC A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-418-8328
Mailing Address - Street 1:217 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3603
Mailing Address - Country:US
Mailing Address - Phone:714-544-1500
Mailing Address - Fax:
Practice Address - Street 1:217 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3603
Practice Address - Country:US
Practice Address - Phone:714-544-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-16
Last Update Date:2016-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty