Provider Demographics
NPI:1669619623
Name:ALFRED B CHAPMAN, DO, PA
Entity type:Organization
Organization Name:ALFRED B CHAPMAN, DO, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:BARNEY
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO,
Authorized Official - Phone:727-412-8294
Mailing Address - Street 1:1220 TURNER ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-5987
Mailing Address - Country:US
Mailing Address - Phone:727-412-8294
Mailing Address - Fax:727-412-8295
Practice Address - Street 1:1220 TURNER ST
Practice Address - Street 2:SUITE F
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-5987
Practice Address - Country:US
Practice Address - Phone:727-412-8294
Practice Address - Fax:727-412-8295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9698208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty