Healthcare Provider Details

I. General information

NPI: 1366932873
Provider Name (Legal Business Name): CHAPMAN CHIROPRACTIC REMEDY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2018
Last Update Date: 06/16/2020
Certification Date: 06/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3607 W MAGNOLIA BLVD STE C
BURBANK CA
91505-2962
US

IV. Provider business mailing address

3607 W MAGNOLIA BLVD STE C
BURBANK CA
91505-2962
US

V. Phone/Fax

Practice location:
  • Phone: 747-245-5421
  • Fax: 747-212-0296
Mailing address:
  • Phone: 747-245-5421
  • Fax: 747-212-0296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN J CHAPMAN
Title or Position: OWNER
Credential: DC
Phone: 747-245-5421