Provider Demographics
NPI:1841545167
Name:CHAPMAN, STEPHEN MICHAEL
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302A S BUILDING
Mailing Address - Street 2:CB# 1000
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7180
Mailing Address - Country:US
Mailing Address - Phone:919-966-8194
Mailing Address - Fax:919-966-8629
Practice Address - Street 1:100 RENEE LYNNE CT
Practice Address - Street 2:CB# 7180
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7180
Practice Address - Country:US
Practice Address - Phone:919-966-8194
Practice Address - Fax:919-966-8629
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408563Medicaid