Healthcare Provider Details

I. General information

NPI: 1376653758
Provider Name (Legal Business Name): MICHELE ANN CHAPMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 11/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 HANNA AVE
CORCORAN CA
93212-2314
US

IV. Provider business mailing address

PO BOX 661597
ARCADIA CA
91066-1597
US

V. Phone/Fax

Practice location:
  • Phone: 559-992-5057
  • Fax: 559-992-4861
Mailing address:
  • Phone: 626-447-0296
  • Fax: 626-447-6057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG56723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: