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NPI Code Detail

MEDICARE: BRENNA CHAPMAN

MEDICARE: BRENNA CHAPMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225A00000XMusic Therapist

General Provider Information

NPI Number : 1497176440
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNA CHAPMAN
Provider Business Mailing Address
First Line : PO BOX 111
Second Line :
City : LAKE GEORGE
State : MI
Zip : 48633-0111
Country : US
Telephone Number : 989-418-0532
Fax Number : 989-588-9047
Provider Business Practice Location Address
First Line : 1900 S LACHANCE RD
Second Line :
City : LAKE CITY
State : MI
Zip : 49651-8022
Country : US
Telephone Number : 231-775-3081
Fax Number : 231-775-7740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2013
Last Update Date : 04/20/2015

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Directions to “ BRENNA CHAPMAN ” Practice Location

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