Provider Demographics
NPI:1801967435
Name:CHAPIN, MICHELLE A (MD)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:A
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16830 NORTHGATE DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134
Mailing Address - Country:US
Mailing Address - Phone:303-805-7879
Mailing Address - Fax:303-805-8076
Practice Address - Street 1:16830 NORTHGATE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-8013
Practice Address - Country:US
Practice Address - Phone:303-805-7879
Practice Address - Fax:303-805-8076
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2021-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO41324208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO60983523Medicaid