Healthcare Provider Details

I. General information

NPI: 1497027957
Provider Name (Legal Business Name): EDWIN C CHAPMAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2012
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 BENNING RD NE 200
WASHINGTON DC
20002-4569
US

IV. Provider business mailing address

1647 BENNING RD NE 200
WASHINGTON DC
20002-4569
US

V. Phone/Fax

Practice location:
  • Phone: 202-396-8550
  • Fax: 202-388-4461
Mailing address:
  • Phone: 202-396-8550
  • Fax: 202-388-4461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number10544
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number10544
License Number StateDC

VIII. Authorized Official

Name: DR. EDWIN CHARLES CHAPMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 202-396-8550