Provider Demographics
NPI:1841473667
Name:DR G R CHAPMAN PC
Entity type:Organization
Organization Name:DR G R CHAPMAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-945-4014
Mailing Address - Street 1:1317 GRAND AVE
Mailing Address - Street 2:SUITE 228
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-3840
Mailing Address - Country:US
Mailing Address - Phone:970-945-4014
Mailing Address - Fax:970-945-4014
Practice Address - Street 1:1317 GRAND AVE
Practice Address - Street 2:SUITE 228
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3840
Practice Address - Country:US
Practice Address - Phone:970-945-4014
Practice Address - Fax:970-945-4014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC454288Medicare PIN