Provider Demographics
NPI:1932193232
Name:CHAPMAN, DAWN RB (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:RB
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:RB
Other - Last Name:CADWALLADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:162 BRANDONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2151
Mailing Address - Country:US
Mailing Address - Phone:608-630-3564
Mailing Address - Fax:
Practice Address - Street 1:306 SUNSET DR STE 100
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2492
Practice Address - Country:US
Practice Address - Phone:423-926-8304
Practice Address - Fax:423-926-5976
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1408111N00000X
WI4349-012111N00000X
TNDC1408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN350050500OtherRAIL ROAD MEDICARE
TN3150787OtherBLUE CROSS BLUE SHEILD
TN3679079Medicaid
TN3679079Medicaid
TN3150787OtherBLUE CROSS BLUE SHEILD