Provider Demographics
NPI:1750398178
Name:CHAPLEAU, CHARLES EMORY (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:EMORY
Last Name:CHAPLEAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1717 N E ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-6339
Mailing Address - Country:US
Mailing Address - Phone:850-444-7050
Mailing Address - Fax:850-434-8879
Practice Address - Street 1:1717 N E ST
Practice Address - Street 2:SUITE 401
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6339
Practice Address - Country:US
Practice Address - Phone:850-444-7050
Practice Address - Fax:850-434-8879
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2015-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0039150207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL065968100Medicaid
FL065968100Medicaid
FLD53312Medicare UPIN