Provider Demographics
NPI:1942259007
Name:SADLER - CHAPMAN, RONNIE STEVEN JR (NP)
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:STEVEN
Last Name:SADLER - CHAPMAN
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:RONNIE
Other - Middle Name:STEVEN
Other - Last Name:CHAPMAN
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:SALTVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24370-0729
Mailing Address - Country:US
Mailing Address - Phone:276-496-4433
Mailing Address - Fax:276-496-5923
Practice Address - Street 1:308 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SALTVILLE
Practice Address - State:VA
Practice Address - Zip Code:24370-3112
Practice Address - Country:US
Practice Address - Phone:276-496-4433
Practice Address - Fax:276-496-5923
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA011980S75Medicare PIN
VAQ76145Medicare UPIN