Provider Demographics
NPI:1336573047
Name:CHAPLIN, JOHN (CEO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:CHAPLIN
Suffix:
Gender:M
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 -9WILLOWBOOK DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1168
Mailing Address - Country:US
Mailing Address - Phone:910-318-5458
Mailing Address - Fax:910-867-1530
Practice Address - Street 1:6821 WILLOWBROOK DR APT 9
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1168
Practice Address - Country:US
Practice Address - Phone:910-318-5458
Practice Address - Fax:910-867-1530
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator