Healthcare Provider Details

I. General information

NPI: 1285600627
Provider Name (Legal Business Name): JAMES ANTHONY CHAPP D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2006
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9090 S RODGERS CT SE STE B
CALEDONIA MI
49316-8052
US

IV. Provider business mailing address

9090 S RODGERS CT SE STE B
CALEDONIA MI
49316-8052
US

V. Phone/Fax

Practice location:
  • Phone: 616-698-6981
  • Fax:
Mailing address:
  • Phone: 616-698-6981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301008146
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: