Healthcare Provider Details

I. General information

NPI: 1649223819
Provider Name (Legal Business Name): DEANNA J CHAPMAN DPM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 CENTERVILLE BUSINESS PKWY STE 117
DAYTON OH
45459-2690
US

IV. Provider business mailing address

6601 CENTERVILLE BUSINESS PKWY STE 117
DAYTON OH
45459-2690
US

V. Phone/Fax

Practice location:
  • Phone: 937-296-9806
  • Fax: 937-296-9805
Mailing address:
  • Phone: 937-296-9806
  • Fax: 937-296-9805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DEANNA JOY CHAPMAN
Title or Position: OWNER
Credential: DPM
Phone: 937-296-9806