Provider Demographics
NPI:1932466927
Name:CHAPPUIES, MATTHEW PERRY (LPN)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:PERRY
Last Name:CHAPPUIES
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 TERNWOOD DR
Mailing Address - Street 2:APT #3A
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-6685
Mailing Address - Country:US
Mailing Address - Phone:989-400-8067
Mailing Address - Fax:
Practice Address - Street 1:4036 TERNWOOD DR
Practice Address - Street 2:APT #3A
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-6685
Practice Address - Country:US
Practice Address - Phone:989-400-8067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703106474164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse