Provider Demographics
NPI:1841303880
Name:CHAPMAN, EDWIN CHARLES SR (MD)
Entity type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:CHARLES
Last Name:CHAPMAN
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1647 BENNING RD NE STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4570
Mailing Address - Country:US
Mailing Address - Phone:202-396-8550
Mailing Address - Fax:202-388-4461
Practice Address - Street 1:1647 BENNING RD NE STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4570
Practice Address - Country:US
Practice Address - Phone:202-396-8550
Practice Address - Fax:202-388-4461
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC10544207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1841303880Medicaid
DCC88018Medicare UPIN
DC1841303880Medicaid