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NPI Code Detail

MEDICARE: DR. JACOB J CHAPMAN D.C.

MEDICARE: DR. JACOB J CHAPMAN D.C.
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
1111N00000XChiropractor4577-012WI

General Provider Information

NPI Number : 1538498522
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACOB J CHAPMAN D.C.
Provider Business Mailing Address
First Line : 1042 S SPRING ST
Second Line :
City : PORT WASHINGTON
State : WI
Zip : 53074-2418
Country : US
Telephone Number : 262-284-0500
Fax Number : 262-284-1019
Provider Business Practice Location Address
First Line : 1032 S SPRING ST
Second Line :
City : PORT WASHINGTON
State : WI
Zip : 53074-2455
Country : US
Telephone Number : 262-284-0500
Fax Number : 262-284-1019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2009
Last Update Date : 08/01/2022

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