Healthcare Provider Details
I. General information
NPI: 1033287032
Provider Name (Legal Business Name): HOWARD JAMES CHAPEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 02/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
936 CHESTERFIELD PKWY E
CHESTERFIELD MO
63017-2042
US
IV. Provider business mailing address
936 CHESTERFIELD PKWY E
CHESTERFIELD MO
63017-2042
US
V. Phone/Fax
- Phone: 636-537-0564
- Fax: 636-537-2315
- Phone: 636-537-0564
- Fax: 636-537-2315
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NX0800X |
| Taxonomy | Orthopedic Chiropractor |
| License Number | CE005072 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: